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DEC 2 7 Igo <br /> %RIGINAL WAIF R WELL DRILLERS REPORT Do Not Pill In <br /> Fite w11I+ DWR <br /> N47 96 <br /> THE RESOURCES AGENCY OF CALIFORNIA u)M5g I <br /> DEPARTMENT OF WATER RESOURCES _ $tate well N. / <br /> Other Well No� <br /> (1) OWNER (11) WELL LOG: <br /> Name Total dtp[h It Depth of completed well A Is ft <br /> Address Formationi Dexeribe by enlor,e1mreeter,gist of asdsrisf,gad tlrrtlure <br /> oC ft to Fc <br /> (2) L OCATION OF W� 2 <br /> County Owners number if any z, <br /> Township Ran ander ,00 <br /> Dit Lancr from nuts roam railroads etc <br /> 3 <br /> (3) TYPE OF WORK (cbeck) <br /> New Well X Deepening [] Reconditioning © Destroying El <br /> I fI destruction,describe rnctenal and procedure su Item I I - <br /> (4) P1,0POSED USE (check): (f) EQUIPMENT: <br /> Domestic C� Industrial ❑ Municipal ❑ Rotary 0 <br /> Irrigation ❑ Test Well ❑ Other ❑ Cable ❑ <br /> Other ❑ <br /> (6) CASING INSTALLED. <br /> STEEL OTHER If gravel packed <br /> SINGLE ❑ DOUBLE <br /> Gage Diameter <br /> From To or of From To <br /> ft ft Dram Wall Bore ft. ft r3 <br /> - <br /> Seae of shoe or cell nn Size of gravel t , <br /> Y <br /> i Describe to-t <br /> I <br /> (7) PERFORATIOWS OR SCREEN: i <br /> Type of perforacson or name of screen <br /> o � <br /> Perf Rows <br /> From To per Size <br /> it ft row it to x ail <br /> l• it <br /> later r~ <br /> 52 <br /> (s) CONSTRUCTION: 's <br /> Was■surface sanitary seal rondtd? Yes 0 No 1A To what depth ft t# r <br /> Were any units waled againstPollution? Yes PD No❑ If res.note depth of"raft <br /> i <br /> From 6 ft to 1,2 4. it <br /> From it to ft Twk started t9 .Cam Icted t9 <br /> Method of u.ltag FU dd c! 8—L 4 f s LNG- WELL DRIIJXR'S STATE tIEW <br /> (9) WATER LEVELS: This well was dulled under my furssdictson and iba report to ttwe to the Lest <br /> Depth at which water was first found if known ft of my 1etiOR,h*eand Lelref <br /> Standca level before rfaratin of knownft NAME VALLEY WATER WELL DRILLING& Pli F� <br /> Suodm level "fur rfon[m and develo is m firm,fe (Person, or rxtpon—) (Typed or priotsd) <br /> (10) WELL TESTS- <br /> Address Q a ' �.f.?i/ <br /> 1p tat made? Yes❑ No ❑ If Tri,h7 whom? - <br /> ral/min with it drawdown after hra $ NkO <br /> Temperacon of water Wes a chetwesi aasl as made? Yes Q No 0 � (Wfll Driller) <br /> Was electric log made of well? Yet 0 No 0 If yea,attach cop? Lw--nn No.-- .- - Ds <br /> SKETCH LOCATION OF WELL ON REVERSE SIDE <br /> DWR IHS (REV B aS) <br /> Da7alAEp in aaN 7tIV OSP <br />