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Q�J7 -. . <br /> ORIGINAL STATE OF CAUFORNIA Do not flit in <br /> THE RESOURCES AGENCY0 A� 120330 f� <br /> Dile with DWR DEPARTMENT OF WATER RESOURCES N 1 L®. Q 3 3 0 <br /> Aft of latent No p WATER WELL DRILLERS REPORT State Well No <br /> Poaoft leo.or bat* ©�- 1 t 4q <br /> Other Well No` <br /> (1) OWNER: Name M a r t i rl H i.E f n r Ranch (12) WELL LOG: Tatar depffi-2 5 ft.Depth of completed <br /> Andres 18352 E. Harney L n. from ft. to ft. Foaniation (Describe by color, character, size or material) <br /> City 1-.0c� 1 ?;p 0 - 2 Top Soil <br /> (2) LOCATION OF WELL (See Instructions) 2 - 5 Clidly Pan <br /> County Owner's Wall Number 5 — 12 Sandy brn. clay <br /> Well address if different from abov 12 — 14 Med. n. clay <br /> Tovmsh[p T 3 N Range R S u Sectfo <br /> 14 - 18 Med. r nFlIslu <br /> Distance from cities,roads,railroads,fences,etc / c18 <br /> f — • orny C ay <br /> 28.ti r R — rn e C y <br /> Harney <br /> _ 8 r <br /> - . <br /> (3) TYPE OF Wopactbrit. atay <br /> Nasv;Veit Ix Deepening Q U • <br /> Reconstruction 0 LU 0 UL-11• <br /> "t Cly <br /> Reconditioning ❑ <br /> Ilouimnsnl Well [] — ` 1hu din• <br /> Destruction® (Describe <br /> destructionmaterials2. Stl y� <br /> procedures is Item'1 <br /> (4) PROPOSED' <br /> xxclay <br /> Domestic ° <br /> .• <br /> Irrigation j — �. • <br /> Industrial O ` • <br /> m <br /> r- ti <br /> ay <br /> Sloe k m t i <br /> ,. <br /> Muni cfp — o• 1 <br /> • O nor .�+ U sand c <br /> SVELL LOCATION SKETCH Other Q — <br /> (8) E(QVIPMENT: (a) GRA PACKS <br /> Rotary Q Reverse 0 Q No + SIz <br /> Cable � Air Q\. i of bore <br /> Othcr 0 Bucket [] <br /> (1) CASING INSTALLED: (S) ERFOItA Ss <br /> Steem Plastic❑ Co c et Type of p r n ors a of scree — <br /> From To Dig. C F of To ]� <br /> ft. f in. 1VaA f ft. siz - <br /> 0 220,'8 12 a (ww - <br /> (9) WELL SEAL: <br /> Was surface sanitary seal provided? Yes IR No❑ If yes, to depth—S-9--ft. <br /> Were strata sealed against pollution? Yes Q NOM Irtteriai tr — <br /> Method of sealia Work started_ 38 Completed 19 <br /> (10) WATER LEVELS: WELL DRMLEWS STATEMENT: <br /> Depth of first water, if known_ 6 3 ---ft This well roar dri undo my fur! fiction and it art is to to the best of my <br /> Standing level after well completion i g n1 fk knowledge d I t-- <br /> (11) WELL TESTS: SlcNsn <br /> Was well test made? Yes ❑ No Q If yes, by whom? (W Drr'IIer <br /> Type of test Pump ❑ Bailer D Air life O NAME Zrincl Wonjl Drillinq :[no-, <br /> Depth to water at Surat of test.....—.._._Jt. At end of fest dft (Parson,Sifts,or eorpomtion) (Typed or pr')nted) <br /> arga cal/mart after hears Wates temperaAddre�r_. <br /> •"•-r"q�":.. <br /> city it nr4k fnrd �'aI 14i' zip AS�'�7 - <br /> 101-1 analysis made? Yes Q No[I If yes, by whom? s <br /> 4 etactrio tog made? Yes 0 No p If yes,attach copy to this report License No 27749-1 Hata of this rapor 1134 <br /> cwrt too (RHV.7•1/e) IF ADDITIONAL SPACE IS NEEDED. USE NEXT CONSECUTIVELY NUMBERED FORM <br />