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' I f�CC A! fCl� �it1 f F lYrJr{�w <br /> L7 <br /> ORICeiNAL WA'T'ER WELL DRILLERS REPORT <br /> File Original,Duplicate and Triplicate wli6 the rD�o Not F:II In <br /> (Sections 7076,7017,7679,T7zter Code) 34542 <br /> REGI0N 'P <br /> AL WATER +r V <br /> CONTROL BOARD No- —5 _ STATE OF CALIFORNIA r— st3=cwellNo-- <br /> rpLroj-irft — <br /> �--_: F Qtbcr <br /> (Y) uWNER (12�) WELL LOG <br /> game Frank M. Milson compMy, Inc. � ��y <br /> Toes]depth fr Depth of completed WdI "0 ft <br /> Address Cherhkee Lane p Eardin W Fa[m [7srrr br by roPor,c6criclrr st <br /> CG s of�rfrrlaj end tJrarFLrr <br /> Stock 0 fr W 3 ft Sur—fB.c—e Soil <br /> I (2) LOCATION OF WELL. 12 12 Sandy Gel <br /> !ib Hard Sandy Clay Sana Streaka� <br /> Gating Owner s npm6er of any, 6 (j'l SAI1 Clad <br /> R F D or street Ko 67 7 and <br /> 74 95 Sandy Cl <br /> 111 San C1a <br /> - 1 <br /> Sandy Cl <br /> 4147 Saud <br /> (3) TYPE OF WORK (check) 7 177 San Clay <br /> -Lri 210 Sand & Gravel Hard reaks <br /> New lad] M Deepening [I Reconditioning 0 Abandon © 210 221 Send & <br /> lfabandonmrnt,descnbernatersaland Procedure siaUem11 Gravel Cl- Streaks <br /> 2 Sand & Gravel <br /> (4) PROPOSED USE (check) (5) EQUIPMENT. 229 2 Sagdy Cl <br /> ay <br /> Domestic ❑ Industrial FX] Municipal ❑ Rotary ® 99;1/. S d & Gravel <br /> Imgatnon ❑ Test Well [] Other ❑ Cable ❑ d Mue Sandy Cl <br /> Dug Well ❑ 297 lit; H 1:11"— Agn Cla Sand St <br /> (6) CASING INSTALLED. If gravel packed' and Sf3 C & Or 101gy Stkg <br /> smr.LE @q DOODLE Gage <br /> FrOiit or Dram rt from to �' �I __11 r� �T7P pnr� <br /> Ofr ro 50 fe 30 Dum.�,�[ Wel] •f➢air fr fr 4 - ��1��( �'ak <br /> lG .. 200 16 J. -.'3�1 0 50 --417 440 <br /> 8 .50 1.1i�_ <br /> Type aid slat of Sher or Weil rani lin a Sae of 9rasel <br /> Dcscnhe tmac welded <br /> L tet �' r'- _ <br /> (7) PERFORATIONS. `�_ 'C': 4 Ae <br /> Type of perforate wed $ m-11 i Ad <br /> of perforataanr 3,k in..length by In <br /> r, <br /> Frain 9At, so 206 fr Perf per rota qRoWt per ft <br /> 124 1��2' <br /> 23L-2541JL42 la 260.2241 <br /> (8) CONSTRUCTION. t Fp <br /> L y, .uldrl3- WL kL,�1 <br /> Wy a rnrfaee taaatary acyl pronded) r Yet [I No To Whys depth 50 ft <br />` 07'070 any rcrata sealed agaatc pollutma t 0 Yet 799 No If yet,note depth of strata <br /> From f e ra � it - <br /> Method of Seahng Work carted <br /> J 15, is55 Completed Feb. $, I9 5 <br /> (9) WATER LEVELS: F �wELL DRILLERS STATEMENT 5 <br /> - - 5 <br /> Dtpth at Which water Was Arae foand ]1pt &17a3.18.b1B f a N_ Tbtr_�wrll roar drilled under my lttrudsetron and tins report a true to the best of <br /> MY knowledge and belief <br /> 1eye1 before perfor.pps It It it` NAME W TERN WELL DRILLING 7er�t <br /> raR7trd after Petfenunx li II <br /> it CO.• L J JJ a <br /> (Perron 5770 or carppratioa) !Typed or pn esedJ <br /> (10) WELL TESTS <br /> Address P. 0. Box 47 <br /> Was a pomp we madeT S.qn Tosfa_ 1 Dal i f ._._..... <br /> Yet 0 No If yet,b7 whoml <br /> driller ,�JgQ • <br /> Yield2750 gal/rota w.eh [$IGNEA .��-^�-'- <br /> Ec draw daw aftet hrr. <br /> /�/�p G^ �L lar1J DrfUrr NOV. C� <br /> 7aaperatatre of water Wta a ehemiml mnal7ns nude? [] Yea a No License No' i4+•�L)4 866 ._� D=[ed N ,M, <br /> RPat elteene for made oEwd1T Z Yea ❑No 90480 3 54 Mots QUIN O apo DWR FOAM No 246 iREI1 3 541 <br />