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:t 1 <br /> e! � <br /> 011101NAL ' A Q WATER WELL DRILLERS REPORT Do Not F:ii X-a <br /> Flies wlth OWu (5tcg(en■7079,Idle,7911,70112,V7a0r Code) <br /> . �yTN oiy) THE RESOURCES AGENCY OF CAUFOtRNIA I;M <br /> � , Soo* DEPARTMENT OF WATER RESOURCES smote W41 lea <br /> Other wdl No <br /> LOT <br /> (1) OWNER: (u) WELT[. LOG. q <br /> Name V-1b apo ire orat s on Total depda ft rk th of emn toed well no it <br /> Address P. Q Box 780 Fara,antn pescribe by color,cbarececr,st"of,e,efarisf•Aird teraetxre <br /> C— d ft m Adobe soil It <br /> (2) LOCA'T'ION OF WELL: 6— 32 ]km alay <br /> t) <br /> �v y <br /> c.-,Y,-,Y, SSY1 Q$ u Dtrrtee's a.mLer If w7 32-= Blip <br /> Towmhl ,Atextsad Steteta V <br /> nmwdm few•eine,roads ratlroaji.tic <br /> (3) TYPE OF WORK (check) <br /> Herr VPdQM Deepe-ag ❑ Ret ndittooestg ❑ Destroying ❑ <br /> if destruetlus,describe material and Nocedure in Items I I. 9115 QlEq <br /> (4) PROPOSED USE (check)- (s) EQUXPMENT: J- <br /> Doanesuc ❑ Industrial a Mutumpal ❑ Rotary ❑ <br /> Irrlgaluon❑ Test Well❑ Other❑ Cable <br /> Other El 281-:285 M11P. <br /> (6) CASIXr, INSTALLBI)• <br /> OTEEL1 0THE91 Ii gra=vel Packed w <br /> SINGLE Q 13OU13LIE© — <br /> G�gr �Jsatrieter <br /> Prawn 1a 106-33-4 <br /> or o£ P:am To <br /> it it Aiam WaIE Bore fr fc31L 41 A Mile x3xx <br /> t <br /> WStte Af Aa—r well nnq 91-A of <br /> Dautbc ie.ac <br /> (7) PERFORATIONS OR SCREEN q <br /> yup--df yerfonuma or same of tcrecn 4 " <br /> Perf Rases <br /> prom To pes per <br /> ft. fe rowt <br /> in a is <br /> 1132—h20 B3ue t <br /> (a) CONSTRUCTION Y lne_nandnlQw V..surface saRttay aerl provided? Yrs❑ NOD To what depth [e <br /> Were x r ttrin snlcd sx,fost allutioni Yes Na Q Ii Tq,nate dcpeb of atcatA <br /> From ft tp tt <br /> Frp�t ft to ft deli stuced t9 ♦ latadi 19 <br /> Meehod of iealips; WELL I])tII.LERaS S'I'A'TEWNI� <br /> This iv&U was drilled TW er-my'u�c4hon a d Ibis rear!is trite It?Ike 1109 <br /> (9) WATER LEVELS: of*ay kumledgealad beta C fR!' ENTAL rir <br /> Ueptlt as+lath water wag first f mad of ynown ft 'ROG�q <br /> t. <br /> Water aaafj <br /> Stxndmg ]gid before 7eiforxt if hrta,ra Er 14AME $00. <br /> SmndlaR heel eftar erfaruia ted dt�dapiaR it <br /> (Penna•ficin,or eorparauon) (Typed or¢rf ef1w) <br /> (lo) WELL TES'T8: Addrwa <br /> td test msdd? Yet Q IQs Cl Ii v b whom? <br /> J et1/min wait ft drawdown After bra $[aVBL] <br /> (Weil Drillorl <br /> Tetnperatupe of water CVAs a chtsoxal aril aid mxdA? Yes 13 Na 0 <br /> Tel dtatric ld =&dt of well? Yta Ido 0 Zf Ya,nsneh so 11Cenac Na_—� -- —^-�- — n3tCd- <br /> SKF TCK LOCATION OF W51-1–ON REYBRSI"SIDE <br /> DWR few (REV 9 on) ac3st-paatasaaatt Twit OO baso <br />