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STATE OF CALIFORNIA /Do Not Frll r?t <br /> ORIGINAL <br /> THE RESOURCES AGENCY <br /> Hie With WQ DEPARTMENT OF WATER RESOURCES N? 111888 <br /> WATER WELL DRILLERS REPORT State Well No <br /> W tHh� _4019 <br /> t 3V6C: J 7 r1 J <br /> Name <br /> {1) OWNER.� ��c:h (1 1) WELL LOG. <br /> Address Total depth 125 ft Depth of completed wdl ft <br /> S Formauon lleaersbr by color rhararier isar of raorrrsal,and rrraelarr <br /> ft to ft <br /> (2) LOCATION OF WELL- <br /> county Sj:;n_JQ2n1iJr Owner i number if anyTia <br /> Township Range and Scc,wn <br /> upl <br /> - 55-90 Ay <br /> Distance from cities roads nllroadr ac K ty <br /> LLP—qt r T <br /> (3) TYPE OF WORK (check) <br /> New Well 0 Deepening E) Reconditioning Destroying <br /> If destruction,describe materia!and procedure in Ilem 11 <br /> (4) PROPOSED USE (check) (S) EQUIPMENT <br /> Domestic ® Industrial ❑ Munsc>pal ❑ Rotary FE <br /> Irrigation ❑ Test Well ❑ Other ❑ Cable ❑ <br /> Ocher ❑ <br /> (6) CASING INSTALLED. <br /> STEELX OTHER If gravel packed <br /> SINGLE DOUBLE Q <br /> Gage Diameter <br /> From1 <br /> u or of From To <br /> ft tt Dram Wall $ore it it <br /> AD-D- 6-5/8 2 11 70 100 <br /> Size ut aha ur well ring Srze of■ravel Dee <br /> Descnbr imnrxelded ` <br /> (7) PERFORATIONS OR SCREED <br /> Type of pertorarrun or name of serwn ot <br /> Perf Rows <br /> From To per per Size <br /> fc <br /> it row it sn x in <br /> !! <br /> {8) CONSTRUCTION <br /> Wa.a sarface sanitary sea]provsdeds Yes r7 ho [] To wbar depth ft <br /> Were my.erata,eased aeasnr[pollution Ye-0 Nod If yrs note depth of strata <br /> From fr to (r <br /> From ft co ft Work started —22 1975 Complexed 19 <br /> Method of soling jnnjte WELL DRILLERS STATEMENT <br /> (9) WATER LEVELS This well was drilled under my jurisdiction and this report is trier to the best <br /> of my knowledge and belief <br /> Depth at which water vas Sege found .f known f[ <br /> Daandsng irvrl lsefore perforating sf known fr NAME liennings Bros , D-r*113-nq Co7 <br /> alundtng level after perforu,nr and developing it (Perwn firm or eorporat,on) !Typed or prrwrrd) <br /> (10) WELL TESTS Address " -Rumble <br /> 50 Wac pump itis miles Yes [i Na If yes by vhoms '� <br /> } tai fm�n with f[ drawdown af[er his [S[GNED] 1." r rf <br /> I esnpenturt of starer Was a chemical analvsu males Yec L� Na r-t�'1 QQ q w (Wel! i!r) <br /> Was eitrtnr log made of wtIP Yes EJ No If ves attach copy License No— 2 C�,{,-C2 i t.—Dated <br /> SKETCH LOCATION OF WELL ON REVERSE SIDE <br /> DWR 188 (Rry 9 sp, 67139 750 oam Goat Tntr Qr Cap <br />