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. . . -WATER WELL INSPECTION DATA.; <br /> • pERkIIT NO. ���09 T. R. Sec. <br /> BY• <br /> INSPECTION DATES . <br /> WORK INSPECTED;� ` b. <br /> LOCATION: <br /> lft) S ,A <br /> T <br /> OWNERJADDRESS �N <br /> bCZ&P_ �—tl <br /> DRILLER P jLL1Ufr- DRILLING METHOD: Rotary (G- Cable Tool <br /> 'Il <br /> TOTAL DEPTH f t. DLAMETE R OF BORE Z-1 1 <br /> INTENDED USE OF�WELL: Domestic Irrigation Dairy Industrial Otherl <br /> 1. CASING: Type Diameter <br /> 'II j2 in. Gauge Depth ft, <br /> Pe`foration Intervals 30 FF <br /> Perforation Method and Size n u <br /> i <br /> Conductor Casing Diameter in. Depth ft. <br /> Well Screen (type, size) L _ _ 6t�1►9z- <br /> 2. GRAVEL PACJ FromF� <br /> �' Gravel Size ¢�" 66 � <br /> ox�7�1 I�L-1 I Lc ESS 1� <br /> 3. SEALS: Surface Platform Size ft. x ft. <br /> Sanitary (top of casing) <br /> AnnLar Seal : Required Depth 121 ft . Grout Used_; )r f�� <br /> 5�> ~ <br /> Proportion Mixed 9 ���1�iC.�b <br /> &Orwt 729 <br /> 5oUnell_ FT <br /> 78A117& PLa r^7 <br /> V I <br /> — / <br /> 4, WELL PUMP: �urface S-,bmerged Offset H.P. !lam <br /> Cap;IMcity (GPM) � 2(�(y� Stat ic Water level <br /> Well Development Methode <br /> S. <br /> Type Cap acity/Si :e 2itr gala. <br /> IIII r <br /> b. LOCATION: Distance to Abandoned Well ft . Well Capped Backfilled f <br /> PotJlntial Source(m) of Contamination <br /> Surrounding Land Use � 11J�7! Gtr Surface Soil Type <br /> 7 . REMARKS : ; <br /> M <br /> r <br /> k� <br /> WW/7/77 <br /> f <br />