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A� STATE OF CALIFORNIA <br /> OR <br /> ' IGINAL THIS RESOURCES AGENCY Do not fill in <br /> 0File with DWR DEPARTMENT OF WATER RESOURCES <br /> WATER WELL DRILLERS REPORT No. 319627A, $ <br /> ' Votice of Intent Na State Well No <br /> Local Permit Na or Date <br /> Other Well No 7 <br /> (I) OWNER Name ' (12) WELI LOG Total depth €t Completed depth ft <br /> ' kddress r{. <br /> from ft, to ft Formation(Describe by color character size or maternal) <br /> City 5- - (�_ ZIP _ <br /> (2) LOCATION OF WELL (See instructions) �j� — e S <br /> t aunty o Owner s Well Numbers tW _ <br /> Well address If different rem above 2Z` d <br /> Township Rari c _ <br /> & -�—�,.Section �• ~13 Q <br /> ' Distance from cities roads,railroads, fences,etc = w <br /> See- <br /> TYPE <br /> TYPE OF WORK <br /> New Well ❑ Deepening Q " <br /> Reconstruction ❑ — <br /> Reconditioning ❑ f <br /> Horizontal Well ❑ V .-� ♦ ��^ <br /> Destruction ❑ (Describe <br /> ' destruction materials and pro- <br /> cedures in Item 12) <br /> (4) PROPOSED IJS� <br /> Domestic <br /> Irrigation <br /> ' Industrial <br /> E Teen 4vell - <br /> ' Other ❑ <br /> T— WILL 1 Ot 1TION SKETCH <br /> �5� P,QF,IP\AEVT jFil C.RAVRL.R(XCK <br /> Rotary �� Rr very., r; yt N.F-I <br /> Air \ _ <br /> C,.ihle �, � met�i:of bore <br /> f lthrr Ruck,[— toenn3 ' E - -� - <br /> t i! CASING INSTALLED t t s 1 (8k PERPDRATIMPLS <br /> Steel Plastic [] Ty of fo� on or sim of <br /> From i Gage or t _ <br /> ' _ft fk Wall size <br /> 9) WELL SERI _ <br /> Was surfaee sanitary seal provided? Yep .� No J if ti's to depth !t <br /> Were trata eea led agauut pollution? Yes N. -v�lnten3l - <br /> M,thod of Scaling <br /> —1 Wot-L started 19— C oinpirtril�— <br /> (l0) WATFR LFVELS WELT DRILLERS ST�TF'vfE\ f T -� <br /> Depth Of first-,iter if kauwn -�- �- #t <br /> ' uandinq E vel after hep coinpieuac _ �_ 4 ���___ Ft I j7Pfs1' WEn� II k"u+ ledge Under rrr" 'urt�rlei< ., ';�d tlaL r pll r( L [rug, J, 11 <br /> lef <br /> (l 11 INEI L 'r'ESTS ' <br /> as well test made' Yes I-; y., it I�ign <br /> yip 7y vnoveIlI)rdle <br /> ' vpr lit tart P�imP f s iia�lr r -- - <br /> Air lift � �AWE � 4 <br /> i7eplh m ware r t st in of test _ It �t r rid,a lest it P tienoq fi eco ��� <br /> t n)(Tvped r print <br /> Uixlierke-...__ �*xl min after fiaiur, LVdlrr t�inprrdturr _ Ll �ddre55 <br /> ( heroical anatycis rtirde' Yes ❑ 'Jn C ,f yes,oy whmm�� Csty <br /> 71P Was electric lag made Ya ❑ No I] IE yes,attach copy to th,a repay License No _ <br /> Date of this report <br /> DWR tap(REV 12-815) 1R ADDITIONAL SPACE IS NEEDED USE NEXT CONSECUTIVELY NUMBERED ioRm <br /> 86 16353 <br />