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STATE OF CALIFORNIA <br /> ORIGINALP,', f' �` THE RESOURCES AGENCY Do Not FX In <br /> HIG with DWIt DEPA RTM ENT OF WATER RESOURCES N? 14200 <br /> WATER WELL DRILLERS REPORT State Well No <br /> t <br /> (1) OWNER Other Well No Lilt <br /> Na <br /> - <br /> (11) WELL LOG• <br /> Nam-t����. <br /> Address Total depth 11fr Drprh of comple t'd <br /> ---cru r <br /> Pu-PV Iub RlvdForMlEiGn Derrrrbe by'0101 1641st,' size aJ meterol and srru <br /> rlurr <br /> (2) LOCATION OF WELL Z rt ro G f <br /> County Owner s oumhrr sf <br /> sny <br /> Township Range .nd Sresron <br /> Uistsnca frum Citses wads railroad' erg <br /> (3) TYPE OF WORK (check) qR <br /> New Well [ Deepening Recondetforsmg O Destro to <br /> Y & [] <br /> if derlrrrrtiorr drrerrbr nrrtlrrral and procrdarr rn ltem 11 <br /> (4) PROPOSED USE (check) (5) EQUIPMENT —�--` <br /> Dorm st1c 51 industrial ❑ Muntclpal ❑ Rotaryrl <br /> Irrigation [� Test Well ❑ ❑ Cable <br /> r' <br /> e <br /> Other ❑ <br /> (6) CASING INSTALLED T <br /> STEEL OTHER If gravel packed -� <br /> SINGLE E] DOUBLE <br /> Gage Dt]meteY <br /> From 10 or of From ry <br /> T ft IT Duns Wall <br /> Bore ro <br /> ft ft <br /> U E <br /> r It <br /> t <br /> Sur ut shoe v well ring <br /> Sere of gravel <br /> Oesenbe scans <br /> (7) PERFORATIONS OR SCREEN- <br /> Type of pertor."un or name of.creen <br /> Perf Rows <br /> Front To per per <br /> ftft Size <br /> row ft to x in <br /> (8) CONSTRUCTION <br /> War a aurfaee tamtary sul prove dcd? Yer ❑ NO <br /> ❑ To what depth ft <br /> Weir any urns sealed aRamrt pollunon? Yes❑ No <br /> ❑ If yes note depth of strata <br /> s <br /> from it to it <br /> From ft to ft L <br /> 1Vwk started aa19 j . <br /> Method of.exlm f' <br /> WELL DRILLERER'S STATEMENT ompleted 4-2 1s —7 6 <br /> (9) WATER LEVELS- Tho well utas drilled ander my lurrsdretson and this report is trnr,to the best <br /> Depth at whsth rarer war 4— feund ,known ft of my Anourdedgread belief <br /> Standing level before perfar,ang f known <br /> it NAME <br /> Sandia level after perforattn and dcrelo rn <br /> it Cper or r seks) (Ty <br /> (10) WELL TESTS. Address Nd <br /> orpr-I.—W) <br /> rr��t q 1 <br /> Was pump test made? Yes � No 0 if yes by whom? U ri �er � <br /> d stat/mm wsth (t drawdown afterp ` <br /> hr. SIGNED a <br /> emperature of water 'Was a Che MCA analysts made? Yes [] No <br /> electricear e[ectc to ❑ No ❑ if <br /> made of will? Yrs E-) {Well Dnllrr) <br /> yes attach coy 217079 f_ <br /> Y.teestse No LJtJ 'i Dared 1+-20 <br /> 1976 <br /> SKETCH LOCATION OF WELL ON REVERSE SIDE <br /> .,._ti. <br /> DWR 188 tREV a Got r <br /> Ta 1 pyo <br />