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LRIGINAL STATE OF CALIFORNIA Do not fill to <br /> THE RESOURCES AGENCY <br /> Fila with DWR DEPARTMENT OF WATER RESOURCES No. 120344 <br /> j of Intent No WATER WELL DRILLERS REPORT State Well No _ <br /> Permit No or Date Other Well No Q¢A)Q 7'� C <br /> OWNER nameHarry Young (12) WELL LOG Total depth_265 ft Depth of completed weir 255,ft <br /> Address from ft to ft Formation (Describe by color, character size or material) <br /> City aekeferrd,-0a=1}I Zip 0 - 7 Top Soil <br /> t } LOCATION OF WELL (See instructi15 Sand Hrn. clay�5 - 5 5 Med. bin. clay <br /> nin ty Owners\L ell Number <br /> Well address if different from above 55 — 70 ..Small roc clay <br /> tistance <br /> wnship- _TAN ,_,Range R7E ---$ectin 36 70 - 83 e • »lg�C a from cities roads railroads fences,etc Approx. mi . 83 — 90 ari y <br /> Orn. C-Lay <br /> w,-mt of Hxy 88 tersection,/ Approx. 90 - 95 poVs <br /> Locke Rd. 95 - <br /> (3) TYPE OF WORK - Med. bmix. <br /> New %Nell [K Deepening ❑ <br /> Recomtrucdon ❑ 12 SI 13\ Ajj44• <br /> sand <br /> Reconditioning ❑ — i <br /> elety <br /> Horizontal W ell ❑ ' <br /> i63 f3ense <br /> Destruction ❑ (Describe 158 — - <br /> destruction materials and . <br /> procedures in Item 12) 173 — - <br /> (4) PROPOSED USE. ±86 19i seft britt. brn- clay <br /> - <br /> Domestic <br /> Imgation ❑ — <br /> Industrial ❑ i98 281 if .6 <br /> Test Well ❑ — <br /> 283 222 - Britt. brn- r-lay <br /> Stock ❑ — <br /> Municipal ❑ — <br /> WELL LOCATION SKETCH Other ❑ 10 14 — 1 <br /> 5) EQUIPMENT (8) GRAVEL PACK _ 73916— h-rn, clay <br /> ot <br /> — <br /> otary ❑ Reverse ❑ Yes ❑ No ❑ Size — b n. sand <br /> C thle $ 'kir ❑ Diameter of bore — clay ( sum <br /> )ther ❑ Bucket C Packed from to tt_ <br /> .) CASIVG INSTALLED (8) PERFORATIONS — <br /> Steel Plastic ❑ Concrete ❑ T)pe of perferatlon or size of scorn <br /> Froin To -- Dia Gage or From _ To Slot - <br /> ft ft. to Nall ft - . ft size9 a4 - <br /> " - <br /> 9) WELL SEAL - <br /> W is surface sanitary seal pro"dedJ ]es No 0 If yes to depth a 2 ft <br /> L <br /> ere strata sealed against pulluhona Yes No X Interval <br /> ethod (if seahn 2 nto 1 ut(3 roNt,oIk start 19 Completed 19 <br /> (10) WATER LEVELS Nk ELL DRILLER'S STATEME T <br /> Depth of first water IF know ft This mell mar filled under my tit ictinn d this report is true to the best of my <br /> go ft knomfedue an 'fief <br /> Its level after well completion - <br /> (11) WELL TESTS SIC\E-- <br /> W tis well test m tde" Yes ❑ No ❑ If yes by whom (well Drdler) Inc .'I'�pe of test Pump ❑ Buser ❑ Air lift ❑ `V�,l ' Ss Irrl • y <br /> Depth to water at start of test ft At end of test_ ft (Person firm or corporation) (T or printed) <br /> r harge��al/min after hours Water tempera <br /> Address ire <br /> ,seal analysts made? Yes ❑ NO ❑ if Yes, by whom? city z- 95237 <br /> i <br /> is eler.tnc log made? yes ❑ No ❑ If yes lttach copy to this report License No_X77491 -nate of this repo Ar. 20 , 198 <br /> �.,^. <br /> OWR tee 1Rev 7 Bei IF ADDITIONAL SPACE IS NEEDED USE NEXT CONSECUTIVELY NUMBERED FORM <br /> O i <br />