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STATE OF CALIFORNIA Do Not Fill In <br /> THE RESOURCES AGENCY N® 58304 <br /> O>l1li>a1A1 DEPARTMENT OF WATER RESOURCES ',` <br /> WM all R �¢h� State Well fro—'t'' =C <br /> (_ r-, WA'T'ER WELT. DRILLERS REPORT f <br /> �-- - N E <br /> 13752 Other WellNo <br /> (1) OWNER. (11) WELL' Up <br /> Name Claudine Dorf Ta2al depth f[ Depth of completed we" 262 ft <br /> Address 1-o a+ 80g lid Formation Drrcrrbr by rotor eb.r.eter rr-e of arefrr,,1 ead rtr.ctrre <br /> oakefo d ru 0----1i toD soil' '. f[ <br /> (2) LO 'WELL'OF ELL• 1¢---6 Cld7 Data <br /> count, San oaOw tuber rf any 6----24 d brom iT <br /> Tarnrhr Range and Sectionn�s n t 24---55 j bro 'T <br /> Distance from cities roads rarlroads eta 4proxCity Blog,,zs 55---52 3r' t/t, e br DLr Ci <br /> Sq. of RR Cgossiar.: 62---72' ly.ed re -brawn clay <br /> (3) TYPE OF WORK (check). 3. of hyo 88 72--- 4 Sandy brown <br /> New Well JX Deepening ❑ Reconditioning ❑ Destroying ❑ 84---IQ9 Rocks and clay RQcHs 471 i ' o <br /> If destruetrors,describe material and procedure to Itrm I1 1 9-- 36 Brittle D <br /> (4) PROPOSED USE (check) (s) EQUIPMENT 136--146 hggyM s ds <br /> Domestic Industrial ❑ Municipal ❑ Rotary ❑ 4�—— 47 Streamrifbro3aij sand.- <br /> Irrigation ❑ Test Well M Other E] Cable $] 1-- <br /> and peg i;rayel <br /> Other ❑ tt <br /> (6) CASING INSTALLED: T <br /> STEEL OTHER If gravel packed <br /> 51NGLLrt DOUBLE ❑ —l+ U a <br /> 1 v <br /> Gage Diameter of -- <br /> From 1 u or of From To <br /> ft it Dtam Wall Bore it it t <br /> 0 <br /> 1841 8 12 1 F,1 1--P. <br /> torir Sho -- <br /> >,zr til.hot <br /> a'.Ji nnK Size of eravrl -- <br /> Ueacrllse U1 E <br /> 2ectric Butt <br /> (7) PERFORATIONS OR SCREEN _ -- <br /> Type of peraorarsun ur name of screen <br />' Perf Rows <br /> From To per per Size <br /> it ft row it to xin <br /> (8) CONSTRUCTION: <br />' Was a.urtace sanitary seal provideds Yea OX No ❑ To what depth is <br /> Were any,trala sralyd aitsinsr pollution? Yes C1 No1f ves nate depth of unto <br /> 1-ram ft to f[ <br /> Krum ft to fr Work+torted ji i I ir I9 Com 14 71 <br /> Net had of wahna 2 oupic s: WELL DRILLERS STATEMENT <br /> 9 WATER LEVELS- ,Y+ Thu u+e11 mat drilled under my ]Lnsdrrt[on and thi[ report is titre to the best <br /> ( ) ,8 Claude C. ,good L':J. o)my knorcledge and belief <br /> Uepth at which at it / <br /> NAME V' O "r- , - <br /> xanJmk frvd brfurc perforating ( known ft (Person firm or corporation) {T71ped or prralyd} <br /> handing level after 96eforann,[ and develbprn t f <br /> (10) WELL TESTS' Vic r Address <br /> pump test made? yes ❑ Na FF yet by rhems <br /> gal lmsn with ft drawdown after hn SIG <br /> _ <br /> Zed <br /> aempersture of water Was achm ttal anal yet mades Yes ❑ Nowas eleetnc 1011Lt6etsse �4RQ-�� JI_�� <br /> SKETCH LOCATION OF WELL ON REVERSE SIDE �� — ` 1 - <br />' .4 <br /> OWN 18f3 {rte, 231x.azo f a.asm TRIP.LD Cap <br /> s ae1 <br />