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GF�IG{NA4 .- �..r_ --'� -t <br /> File Original,Duplicate and Trfpficale with the WATER WELL DRILLERS REPORT Do Not Pill 1, <br /> REGIONA-L WATER POLLUTION a a <br /> fsteavl rove,7077,rare water Coda0) � 24195 <br /> CONTROL BOARD No. 5 STATE OF CALIFORNIA�V ,{ SnceWell No <br /> (lnrtrtap¢roArl�frnumbrrj / L <br /> 1 / Other Wal NoE °r... � ,L,! <br /> WE <br /> ( ) LL LOG <br /> Name Califorma ?Int r $ Tani deprh fr Depth of eompfrred wet] <br /> Address it <br /> Formation Derrrrbe 6 calor therortrr,time of)nvrerral,and Wutture <br /> San osp 0 fr to 2 it Loam <br /> 2 7 gdobe <br /> (2) LOCATION OF WELL 7 <br /> 1 l6 Yellow Sandy lay <br /> Coonry S Owner i number tf any— _102 16 20 L+l IS re S'�L1,dry <br /> RFD or Srre o �� 4 Sand 1A th Clay <br /> r 961 Yellow Sandy Clay <br /> .61 71 Sandwith Clay <br /> 71 105 Yellow Clay <br /> 1 10 120 Sand a.eked in Clay <br /> l20 .140 Yellow C1FKV <br /> (3) TYPE OF WORD (check) ]_ Q lgg Yellow Sand Cl& <br /> Neer well 9 Deepening © Recond,non,ng ❑ Abandon ❑ L Send Gravel & Boulders <br /> Jf abartdonmen{,dercrrbe materia!ar[d proeedr r e u)Ilent I7 220 Clay <br /> (4) PROPOSED USE (check) (5) EQUIPMENT2 0 Gravel & Boulders <br /> Domestic ❑ Industrial ❑ Munlclpal ® Rotary ® Hard Sand & Gravel <br /> Irrigation ❑ Test Well ❑ Other ❑ Cable ❑ 260 Coarse Sand <br /> Dug Well ❑ 2 Hard Blue C <br /> (6) CASING INSTALLED If gravel packed Coarse Sand <br /> SINGLE® DOU13LE❑ Gage 1 e C a <br /> r� <br /> From r Qta Borer from to <br /> Vft togb it �OPmm 1�4 Wall of Bore fr it 2,857 Ss <br /> and <br /> — - O 514 16 1/4� 36 - O 96 Cls <br /> 0 6 <br /> 327 <br /> 347 354 lay <br /> Type and trrr of)hoe or wcp rang none Sire of gravel ]. 1 <br /> Deterrhe joint buttweld 2_ Ue Sand C1 <br /> b Sand <br /> (7) PERFORATIONS: 426 42.a Clay <br /> Type of perforator uacd Facto= 'f ouyTr2 S d Sra.IICla Streaks <br /> Size of perfarittaat ,n rength by 44t— Clay r <br /> Fr-202 fc ry490 fe peel <br /> Per raw Raw.per It. <br /> 474 <br /> (8) CONSTRUCTION. a. �� r Ti n, <br /> Wm a surfata raastary real prnnded? 01Yn <br /> O Teo To what deyt6 96 it <br /> Wets fIr Airs"aealcd agvast pollut,oa? [] Yea No If yet note depth of hints 4$r Cyf]1 <br /> From rt to fr _ <br /> -1 Ct n t n l I'l'r. <br /> Method of Seal mg warp aterrad T an• , pea}:C l _ l95 <br /> (9) WATER LEVELS. WELL DRILLER'S STATEMENT <br /> Depth it which water was firic foundThu well wan drilled under my jurisdiction and this report a true to the brat of <br /> riot.,,_ayail ahl P _ _ {t my knowledge and belief <br /> 1 S=dmg level before psrloraavj jT fe <br /> -sYel afar perfvrataag - rc NAME G CO L <br /> {Yawn firm yr eorperatwv) )Typed or printed) <br /> Address O Bog47 <br /> (14) WELL TESTS. <br /> o <br /> ryas a pump cart made) Ej Ycr ❑No If yes by whom? driller G� <br /> Yield gal/min with it draw dove after <br /> // e 1rr� <br /> 'Yell Drifter <br /> f Temperature of tiicer Vpsr i ehemrai aaslysrt wide? ❑ Yet �No ..�„`�e Dazed �AYy= 7 12, I9.� <br /> Ltca[lse No <br /> rr� x <br /> G"tf electric loo made of well? �.Yer [,_r Na i}i}}j 7qM Qum Q 9P0 � <br /> DWR FORM NO 245 WEV 3 541 <br />