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STATE OF CALIFORNIA Do Not Fill In <br /> THE RESOURCES AGENCY 0 58304 <br /> OR160dAL DEPARTMENT OF WATER RESOURCES •� <br /> whh°� - - - WATER WELL DRILLERS REPORTIOPMP t'Le Well N°' �+ <br /> 0 �- r <br /> .. � N E 3 fc <br /> Y7� ((�� e^ 1-3752 s Other well No <br /> IrC"i IaGS UV.,Y� L.+ve <br /> (1) OWNER (I I) WELL LOG- <br /> Name Claudine Dorf Total depth 262 ft Depth of completed well 262fr <br /> Address 1-e @y Box 116 Formation Descvzhr by color cberseter size a/material and itructare <br /> Lodkeford QalifQrLin Q52rwrel 0----11 to soilf[ <br /> (2) LOCATION OF WELL: 1-- -� Clay an <br /> Wnaty S3 Owners number tf anv 6----'24 L,ed bro n clo v <br /> Township Range and SectionrJ 24---55 Silt bro� - clay <br /> T4N R7R tian 36 I <br /> Distincefrimcints, <br /> a- <br /> Ditcancefrlmcsues road, ratleoads etc Approx 2 03,ty 03,tBlocis 55---52 3r; tt e bro�.n 07r;-,- <br /> So. <br /> lr -,3o. gfM Cross 62---72 led gre -brgln clay <br /> (3) TYPE OF WORK (check) .rte of Icy. 88 72---84 Sand - brown clay day sand,,._ <br /> New Well I Deepening ❑ Reconditioning ❑ Destroying ❑ 84---109 Rockg and c1gy Rooks 4"_ ° <br /> it destruettvre,describe material and procedure in Item I I �9"'-13 Br <br /> (4) PROPOSED USE (check). (S) EQUIPMENT 136--146 Broym sands <br /> Domestic (X Industrial ❑ Municipal ❑ Rotary ❑ 148--147 St "` <br /> Irrigation ❑ Test Well ❑ Other ❑ Cable M] 147--148 Sand and pea gravel <br /> Other ❑ r' n <br /> (6) CASING INSTALLED• _T <br /> If gravel packed — b t- <br /> STEEL OTHER <br /> r.1 PV <br /> SINGLE DOUBLE ❑ 3.i O <br /> 129--192 7 q y <br /> Gage Diameter — <br /> From to or of From To <br /> 2.10 Rr-ittda hr,-Un njay <br /> it t Dsam Wall Bore fL it 210--211 lVed hard grey <br /> 0 184 8 12 211 --217 Ved hard brour <br /> 217--29C) Rrittlp hk,,-Lwri clay <br /> for Shod --P7 <br /> 44 <br /> }r5� 82 <br /> ]sxr of shoe..r well ring4"-11 Stxe o[¢r.vel -- <br /> Describe„tial xll Electr c BUtt e <br /> (7) PERFORATIONS OR SCREEN. 215 9 <br /> --2 8 Br mm <br /> Type of pe[tVnuun ur name of screen <br /> Perf Rows <br /> From To per per Ssze <br /> it it row fr en x in <br /> EEL—' <br /> (8) CONSTRUCTION <br /> Was a surface sanitary seat provided, Yes yo ❑ To what depth 65 ft <br /> Were any srrna sealed against pallutwna Yes ❑ NG if ves nate depth of strata <br /> I'roro ft to it <br /> prom ft to (t Work,carted 9 Com 19 <br /> 71 <br /> Method of sealing T' WELL DRILLER 5 STATEMENT <br /> Claude C. i1(�t'3d Coa This well was drilled under my jurisdiction and that report is titre to the beet <br /> (9) WATER LEVELS- BY: of my knowledge and belief <br /> Uepth at which water was firs[ found if known 103 ft <br /> Standing level beforeft NAME n ~,T'^T' r 1 '� <br /> perfonung if known <br /> (Person firm or corporation) (Typed or perused) ,5 <br /> mandmR level after - T i { <br /> lfortoca[inR anJ dsvelapin <br /> ' Address <br /> (10) WELL TESTS- <br /> pump test made} yet ❑ Na If yn 6y whoml <br /> i - <br /> tal lmtn wrth ft drawdown after lin [ EG <br /> - s !W rr Ire} <br /> iemperatvre of rater Was yc6em cal analYsu made} Yes ❑ No X. <br /> c� <br /> 'Was elrccric lug made of wells Yes ❑ No If ves acneb copy LtLerise s i9 <br /> SKETCH LOCATION OF WELL ON REVERSE SIDE <br /> elate qp ..r n rn <br /> 25119 590 9 4111 Osr <br />