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File Original,Duplicate and Tripl kale with the <br /> 'DIVISION IF WATER RESOURCES <br /> SACRAMENTO 5.CALIFORNIA <br /> WATER WELL DRILLERS REPORT Do Not Fill Im <br /> � <br /> (7) Perforations: <br /> Typeofperforator used ---------------------------------------------------------------------------------- _---_---_ <br /> Ier6rum6------'_--'_--_--'ft' u»_-'------------------------------it. Hole size------------------------------------No.ofholes--------------------------------- <br /> -' <br /> . , . " .' " <br /> -- -- <br /> ~ ~ � <br /> _-�------------_ ---- -------------------------------------- ------- __ <br /> '. ^ " ° ° <br /> ������` ------------------------------------" ~ " ~ " ~ ° ~ ~ <br /> " ~ � " <br /> " ~ ~ ., ° ^, ° ° ° <br /> � -----_.___------- <br /> ° ° ° <br /> ~ ° " ° <br /> _ ^' ., ' = ° ° <br /> (8) 'Water levels: (9) Well pumping test: <br /> Depth at which water Date of test---.- <br /> - -'--'-----By whom------------------------------------------------------------ <br /> fi�renconu��d_---__-_- Depth u»water when test started-------------------------------------------------------ft. <br /> Depth,owater Q.P.M. utbeginning oftest----------------------- -------------------------------------------- <br /> before perfora <br /> -_--_beforeperfurac. Drawdown from standing level-----------------------------------------------------------Jr. <br /> Depth to water G.P.M. at completion of test <br />� ufterp* fo,utiog-----------'_-_--'--'_-{t. Drawdown ^ccompletion vf test------------------------------ -------------------------ft. <br /> Note any change iuwater level while drilling Length oftime tested __- ---_ -_. <br /> -- --' '---' '--'—'---'---------- <br />� --------------------------------------------------------------------------------- Temperature of water------------------------'------'----------------------------______ <br /> Was gas present iuwater? 0T, E] No . <br /> (xm) General: <br /> Was well gravel packed? Size of _ of pack <br /> Wasusurfacesanitary seat provided?----------------------------------------------------------------------------------------------------------------------------------------------------- <br /> 'Were any otnutu sealed ^gx/ovt ? [-] Yen E] No If yes, attach detailed description. <br /> Stratasealed.-------------------------------------------------------------------------- -------- ---------------------------------------------------------------------------------'-_---- <br /> Was analysis made of water? 0 Yes [] No If yes, attach copy. <br /> Was electric log made ofwell? [] Yes C] No If yes, attach copy. _ <br /> Ifwell abandoned, was itplugged and sealed?------------------------_-------------------------------------------------------------------------------------------------'-- <br /> 8&or6od of plugging and scaling------------------------------------------------------------------------------------------------ - <br /> (11) Location: (12) Time of work: <br /> � <br /> »«"`'h 3*odou " Work s*»ruo6 6wuo nupletm6 6xte-�-22-5I <br />. ^,~^^,^"x <br /> Base&Meridian—A'Y'h WELL DRILLER'S STATEMENT: <br /> Show location ofwell in Sec- This well was drilled under my jurisdiction and ,6a <br /> tion, thus (X) report is trite lo the best of my knowledge and belief. <br /> Distances u,section lines from <br /> `~*U, I� oc8--'----_'-'ft. [8mmzu] 8� t <br /> and 2v,W�--_---_ft. <br /> ~"' <br /> 86ovv location of n*ucroc xz� <br /> known well, thus (0) �r <br /> l�oeu,e l�d�]�85{� C|^�i6cxunu ���� <br /> I»i��xnuv �o u�x�,,� �uorpu --'-' -' --' <br /> � xx��a <br /> `veU-------------------fc Dated-_ ------ ----- - 19-!;�-7 <br /> o.w.n.r*»^N"� z4v REGIONAL WATER POLLUTION CONTROL BOARD COPY ,,,,,`=°M",.",,, <br />