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s GINAL LOCATION NOT CH C� � ' Iglnal Oaphcate and Triplicate with the SHEET 2 ON OF WATER RESOURCES p NI BOX roomy SQ Y1 CRAMENTO g CALIFORA r WATER WELL DRILLERS REPORT Do Not F:ll In r State ViWeIl No (Sections 7076,rorz,7079,Water Code) Other Well No _� 1�.(f 2 Z�_— 1 'I Region (7) Perforations Saw Slot (casing f=inished by customer ' Type of perforator used g1/9 --- --------- _ Perforated -------__ --------ft to---- ----- around _______ _____ _ _ft Hole size __ _ __ ___ _ No of holes_ >, „ 1 - --- ---not-----� - --- -- -have, this informationr - we do --- s- -___ --- ---- -- ---- „ „ -------- - � ,. „ - ,. „ „ „ - -------------------------- ---- ------ --------- ----------------------------- ---------- ----------- - „ ------- = ---Y-- --------------- „ ,. __ --------- „ „ „ ,. „ ---------- ------ - -- (8) Water levels: (9) Well pumping test: / Depth at which water Date o �2b_ to_3/1?- 3 hom_�e�terxl_If811_ i 7 ro-__�.0 first encountered_________________ _____ ____ ______ft Depth to water when test started ____ _______---lm__ _ ________ft Depth to water ble G P M at beginning of test---______---125__ ' before perforating_______t__ a------ ___ ___ft Drawdown from standing level__________-P--L-__ ___ ____ -______ _ft Depth to water uo G P M at completion of test-______1831 ___________ _ ___ _____ ___- after perforating_______----___ _-_________ ________ft Drawdown at completion of test---- ID5______________-__r__ _ft Note any change in water level while dnlhng Length of time tested__ ___ ____ ------ _ 2-45---Hrs._______ _______ - --------------------------------- -------- ------------ -------- Temperature of water---------------------- Was gas present in water? ❑ Yes 71 No (10) General Was well gravel packed)---------Yes--__ __ ______ Size of rock x 3/3.6 __ ___Thickness of pack ' Was a surface sanitary seal provided)________Yes_ Were any strata sealed against pollution? ❑ Yes ® No If yes, attach detailed description Strata sealed- -- - --- - -- ---- -- -- -Was analysis made of water? ❑ Yes Cg No If yes, attach copv ' Was electric log made of well? K Yes ❑ No If ves, attach copv If well abandoned, was it plugged and sealed?_____ __ ______________ ____________ Method of plugging and sealing---------- -------- - - - — — — - (11) Location See heloW (12) Time of work ' North Section No __ Work started date1/12/M Completed dat,3/18/53_ _ Township_______ Date of this report______April _21, _ 95_3L_—___—----- Range--- ____Range--------------- ------- Base&Meridian----—_ __ __ ___ WELL DRILLER'S STATEMENT , ' I ; Show location of well In Sec- This well was drilled under my 12lrisdiction and this non, thus (X) report is true to the best of any knowledge and belief Distances to section lines from j well, N or S------_— __ft [SIGNEDI7ted-- -NET,L__DRTT.TTNt'.__��_r_I�TDi I 1 , 11'ell Driller and E or W_____�_—___ft Show location of nearest ___ known well, thus (0) R- 8 (,••5'1'` ___300 ____C1asslfieation_-____ I MILE Distance to nearest known well----- -- ------ ft - -_ADril_21 -_, 1563 ' X.E. corner Center & Anderson Sts..t o W R FORM N Stockton, Ga"J 6GIONAL WATER POLLUTION CONTROL BOARD COPY O 246 73972 3 50 AM CYIN f.0