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ORIGINAL <br /> He original,Duplicate and Triplicate with the SHEET 2 G P� <br /> DIVISiQlI 'MATER RESOURCES <br /> z P- <br /> P o BOX 1079 <br /> SACRAMENTO 5 CALIFORNIAy-%/�/"�L / <br /> WATER WELL DRILLERS REPORT Do Not Fill In <br /> State Well No__-- --------- -------- - i <br /> (Sections 7076,7077,7078,Water Codd) Other Well No________ __ <br /> 1 -- <br /> Region----------- -- ---------- ------ <br /> (7) Perforations: <br /> Type of perforator used_____baa__ ].� __-�easin� 7T�i shed__b7 customer)' i <br /> ------ - - - - - ------------------------- - -- ----- ------ <br /> Perfora ed_______________---_----------ft to____---------_--- - -1/8-.ft Hole size - �-X-2 -- <br /> ------_- --__No of holes----6'4_Pf` <br /> 64-.per- t e__-- <br /> „ do not have this ,iTl ,ormation� - „ „ ,. „ <br /> ., „ <br /> --------------------- ------- ------ ---------- --- <br /> - „ --- <br /> ------------------ ---------- - -------- --------------- ------- -- - ----- --------------- >, ---------- --- --- -- <br /> 1 „ ,. -- ----- ---------------- -- -» --- --------------------- <br /> --------- ---------------------- --------------- ------------------ --- - -- -- <br /> >,- -- --------- ----- ------------------- - <br /> „ „ „ <br /> (8) Water levels: (9) Well pumping test <br />' Depth at which water Date of test_2��/52____By whomffeate_=__We21__pTi1.J:1n4 Q?a <br /> first encountered______________ ____________________ft Depth to water when test started ______65-----------------_-__ _ __ ft ' <br /> Depth,to water G P M at beginning of test_______15Q____________----__ <br />' before perforating_ ____------ _______ _ft Drawdown from standing level_______33_ _________ ______ _____ _____ft <br /> Depth to water nOt, G P M ac completion of test___________1.5-5Q----_________ <br /> after perforating____ ______ ___-------_____________ft Drawdown at completion of test________75__ __ _______ ______ft <br /> Note any change in water level while drilling Length of time tested___4231 hms <br /> - - - - - - Temperature of water- ---------------------------- --------- ----------------- <br /> Was gas present in water) ❑ Yes [�g No <br />' (10) General <br /> Was well gravel packed)----------Y�!§---------------- Size of rock _�->%± x 1/2- _ _-- Thickness of pack- 7------------ --------- <br /> Was a surface sanitary seal provided) ________YeS_________kaUrf&qe t'a ids-, -___ _------ _ <br /> Were any strata sealed against pollution? ❑ Yes [�No If yes, attach detailed description <br /> Strata sealed------ —— - - -- ---- ----- - ------ <br /> Was analysis made of water) ❑ Yes [k No If yes, attach copy <br /> Was electric log made of well) ® Yes ❑ No If yes, attach copy <br /> If well abandoned, was it plugged and sealed)------------ - ------ ------ --- ----- -------------------- <br /> Method of plugging and sealing----------------- <br /> ------------------ <br /> ---- -- - - ---_-------- - - - <br /> 1 <br /> (11) Location (12) Tune of work <br /> North Section No -----3.1----- _ Work started date_12/ZOIC-ompleted date_2/Z7/__:24_ <br />' Township_—1 -_ ___________ Date of this report___------Manch---Z6,,__1_952 <br /> Range--_-_-_-- <br /> Base&Mendian__,K_Il _ WELL DRILLER'S STATEMENT <br />' Show location of well +n Sec- This well was drilled under my jurisdiction and this <br /> tion, thus (X) report is true to the best of my knowledge and belief <br /> Distances to section lines from <br /> well, N oncX25II0____-ft [SIG,tEDJ - - T - !-D ------ ---- _LTD• <br /> and$or W-_2.500 -__ft w.if rn,urr , <br /> Show location of nearest B <br /> y _ '�--- <br /> known well, thus (0) cco R__ C 57 <br /> -1~'�65._Classification_- <br /> 1 MILE Distance to nearest known <br /> well------ ft Mareh 26 - 19 52 <br />' D W R FORM No 246 REGIONAL WA'T'ER POLLUTION CONTROL BOARD COPY 21972 3 so 40r QUIN s►o <br />