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C�syICINA� STATX OF CALIFORNIA nt) #�@77L <br /> THE RESOURCES AGENCY <br /> �8 <br /> File with DWR DEPARTMENT OF WATER` RESOURCES No• <br /> ni Intent No—/� 7.} 7V�Vr'AT�ER WELL DRULERS REPORT s��w�,l�0�1yN��o/�(�-ptt< 1� <br /> Permnt No or DPto CONTINUEX) other,Wen x--Q-L1=+GL�i 0 <br /> 1) OWNER: Nam r-Board-products (12) WELL LOG Total depth�4 Depth a complatod W41 <br /> from ft to R Formation (Describe by color, ammeter, sire or matenal) <br /> 7,111 <br /> 7—d& <br /> ity_ -- ---YLl' <br /> ADY ue ala <br /> (2) LOCATION OF WELL (See Instructions) <br /> County OwnWs Well Xtunbet�SP Al C1 494i10 d <br /> ' well address if dtlferrmt from abov 429 37 sen xue clay <br /> To\v1L1Inn _ hangaeh 437- 443 blue C w/fine Sand <br /> Distance from cities.roads,railroads,fences,etc 443- 446 arse, blue sand <br /> 446- 455 bliaa clay <br /> 455- a blue sell <br /> 461- 4W brittle blue e ay <br /> (3) 'TYPE OF WORICe 4(3)W 476 med blue sand <br /> New wall q Daepamag © 4 495 s dy blue clay <br /> ltecomstrecaan p 495 498 sill an c ay <br /> Recondltloming q 498. 5254aAW 13lue clay <br /> 110mootal wall 52pPecti "ag <br /> Destmcilon 0 Mas*nbe <br /> destruction roaten tJs <br /> procedures in Item <br /> (4) -FROPOSED <br /> Vamestle — <br /> Irngatmn 0 h <br /> Industrial ❑ — <br /> TliWeil ❑ <br /> r <br /> Stec <br /> ldtrniclp <br /> WELL LOCATION SKETCH thcr CI <br /> Fs) LQuIP�tENf (s) GRAY `PACK' <br /> Rotary 0 Reverse CI No p Saxe <br /> Cab10 f7 <br /> An. C1 r of bo �r <br /> Other 0 Bucket <br /> (i] CASING INSTALLED {81 1ERFOIiA " <br /> Steel © I'Instre ❑ C4 eType of is nr ce of% <br /> I'mrt: To Dtil To <br /> Ft ft m whit ft ft < xf <br /> (o) WELL SEAL' <br /> Was swfaca aamrtsry seal proVfdcd2 Yes❑ No p If yes,to depth — — <br /> NVom Strata sealed 6ftainst pollution? YSs ❑ No 13 Imterv'rl —�L <br /> Method of smallSvnrc start! 1fl --- CempiltlMa —IfI <br /> (10) WATER LEVELS WELL D)RILIRS STATEMENT <br /> Depth of litst wateri if k=N -- rhis tuca wet dr'ifrd under mu I"rudn-tion and thin retro# fi it" to the best of mu <br /> Stammng level site[ well aomplet knotefedse and bairn} <br /> (11) 'WELL. TESTS SIG. SCHRACK PRiETO �t'iTMISES-I-IM <br /> Was wall test made? Yes q 110 a If y". b)r wheats t 9 `� J <br /> Type of tat Pump 0 $Riley 0 A`v I'it: NAME ID <br /> Depth to water 'Lt st'rt of f0s .ft At end Of t4sc----___ft (heals. fi printed) <br /> ` ai1min after haus Avatar temp <br /> Add Q +'`• <br /> nealysia roade7 Yee q Na�} l f Yes by whom? C+IY Ztn - <br /> W e o ioLr made? Yes f] l+fa © I#Yes attach copy W lhts rCpnrt Lteense of tbLs repo <br /> owR IOU tREV 7Te) IF ADDITIONAL SPACE IS NEEDED USE NEXT CONSECUTIVEI-Y NUMBERED FORM <br />