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�C��IV�v IVCi HEr-KE <br /> 1 <br /> ORIGINAL. WATER WELL DRILLERS REPORT Do Not F:!! In <br /> N? 7,5203 <br /> Hb Original Duplicate and TrIplltate with the (steno.,7076 7077 7077 Water Code) <br /> REGIONAL WATER POLLUTION tst2 e'Cell NoZS -1 e— SF—Z- <br /> & <br /> F—Z <br /> & STATE OF CALIFORNIA NTROL BOARD No�_ other Well No y _ <br /> mN approprlefr number) <br /> (I) OWNER (I I) WELL L`IG <br /> ,Name rotal J,cr.h 372 ft Depth a!enmpletrd yell _orf 2 Ft <br /> Addrevs �a cormattun Uercrrbr by bust" sr of tarter.! ..d trract.re <br /> ' la !r 6ft Top b5oil <br /> 6 16 Set Sand <br /> (2) LOCATION OF WELL 16 20 Rand20 24 Blue 0193 — <br /> t_�t nw V*nrr a number rf anv-- <br /> 52 24 - Sa <br /> rt F t) or Suter No 52 ry <br /> Qlay <br /> W 57 65 Sand & Gravel <br /> E aTo 2 S. , 65 75 aoft Clay <br /> R. 7 E Hard la <br /> ' (3) TYPE OF WORK (check) 300 1 Q.9 0 105 '11-2\ A <br /> ew well (Z Deepening El Recondrttotung 12 46sndon <br /> If abandonment describe matrrtal and procedure to Item 11 112 set anal <br /> (4) PROPOSED USE (check) (5) EQUIPMENT 124 134 Clay. <br /> Domestic ❑ Industrial a Municipal ❑ R(,C2rV C3 <br /> Cable i3 114 150 SQ nrl <br /> Irngatton ❑ TestWell I Other ❑ Dug Well ❑ 150 162 ;,,-'GrigiVel <br /> 162 240 ' May <br /> (6) CASING INSTALLED If gravel packed240 249 Spa <br /> SINGLE DOUBLE. Gale Dumetrr frartt to 249 251 Clay <br /> Tell <br /> of Sort fl it <br /> From it o 1t D.awt Vali <br /> 0 10 20 951 2B5 5n nrl <br /> 285 290 Clad'94 9 <br /> 29!2 32Q Sand <br /> r, <br /> I pe+wd teat of rhos or vet 'Is �= But of a.rel _ <br /> ' Desce.be lo.at <br /> (7) PERFORATIONS <br /> Tr"—a f perforuor orad <br /> Size of p.iforat.oas <br /> ra knetk by as <br /> From ft r rt Perf per row Row+per it <br /> AAQ <br /> ` '�� - <br /> % W <br /> ' (B) CONSTRUCTION. <br /> Was a aurrace seartary sail pmvkdedl 0 Yea LL Vo To*hat depth it <br /> 'Welt day strata araled afawst pollutroa? L7 Yea ❑ No 1f yea note depth of ural. s ` <br /> From ft to f` <br /> 19 Gomplend �� <br /> of ork started r <br /> Method of Sealmg 3/3 <br /> ' 'WELL DIULLER'S STATEMENT <br /> (9) WATER LEVELS' Thu well was drifted tender my jurisdiction and this report is Hue fo the b V <br /> !c tray knowledge and belief <br /> 0Depth at wh+eh water was firer found <br /> f` NAMErar"W'11 <br /> ' aa.nt lcrel before perfurauna <br /> it ll'tnow nem ..r.urpu:uvw r !ear!or Drr ale e <br /> irnt ierti after perforatralt Address 7 v <br /> ia <br /> (10) WELL TESTS: TT ���yyyMo — ss a <br /> ' mer.Puwp uaa made E*Yet 0 No if►err 6y whaxi V a /(//�' -- <br /> [$IGNEfl] _r �efl Drfffer <br /> 3600 6 ft draw dawn.flat ►r. <br /> Yrdd tial/rs.n weth 211�1�8 Dated r 19 <br /> r...rwe.sawre of water <br /> Was a ekem.col awalyus made? ❑ Yet G No License Na <br />