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ev <br /> �`�` ,•r`~fir `�� <br /> Do Not F,II Its <br /> ~STATE OF CALIFORNIA O� a� - <br /> -t THE RESdURCES AGENCY �� 15115 4 <br /> ORJOIN" 0- 1 NO <br /> FH*with DWR - i EPARTMENT OF WATER' RESOURCES <br /> WATER WELL DRILLERS REPORT t.� '� state Well Nn <br /> `= w `C �O Other Well No <br /> - , n <br /> t4 <br /> WELL LOG: . <br /> Na Total depth ft Depth of completed well it <br /> Ad cess Formauan Drrrrrbr by color chersrerr sta of nester's, awd ormrtnre <br /> t to ft <br /> CON F WELL. tecta"✓�e� � <br /> - / w r s number if any <br /> 1 uwmhtp Ran a and 62 46143MI112 <br /> I <br /> Distance from dues roads rulroads etc <br /> (3) TYPE OF WORK (cbeck.): <br /> New Well Decpentng ❑ Recondutontng ❑ Destroying ❑ <br /> If destruction,describe materna!acrd bRocidd9i Ira lhwa I I <br /> (4) PROP05ED USE 41 (s) EQUIPMENT. "'^ �-- <br /> Domestic trla7 ❑ Muntctpal" I Rotary <br /> Irrigation ❑ trAt Well Q 'Other ❑ Cable ❑ <br /> Other ❑ <br /> (6) CASING- `t9`L LE '.,� <br /> If gravel packed <br /> STEEL OTHER <br /> YEN <br /> SINGLE g;/ OUBLE F] <br /> Gage Diameter <br /> From ' <br /> or of From To <br /> it itu Dlam Walt Bore it , it <br /> Nt <br /> lrxe of shoe..r w r Sire of e'avd <br /> Ueunbe <br /> (7) PERFORATIONS OR SCREEN <br /> Type of pertorauun or name of screen ` <br /> [2 --•� r, Irl. <br /> Perf Rows L <br /> From To per per Seze <br /> ft ft row ft In x in <br /> 00 <br /> (s) CONSTRUCTION: <br /> 1 <br /> WA,a.urtace sanitary seal prov'ded' Yes . o ❑ To what depth ft <br /> Were any urata.caked alta.nst pollution? Yes ❑ No❑ If yes note depth of strata <br /> ` t <br /> From ft to it <br /> Feum r to ft York started t9 Gompieu 197 <br /> Method of,cal mR <br /> y WELL DRI ER' STATEMENT <br /> (9) WATER LEVELS. 01 T his urll was drrled under my Iur n end tbtt repo true to for-best <br /> era knot rd awed brlre ' �. <br /> tlepth at which water waa first found �f known t <br /> )nndsne vel hefure VAS <br /> le <br /> el �f known ft <br /> n firm coryorat (T d or prim r/) <br /> handing level after rforatsnR and developing ft <br /> (10) WELL TESTS: Addres <br /> was pump test made? Yea Q t No yes by vhom7 <br /> 4 Ral lmsn wsth w fe drawdown a(ett ,� hi`s S i <br /> emperature�mgdr. <br /> W <br /> as emecal analysis made' Yes ❑ No X� f�rtt Dnflrrl <br /> Vpas electric If well? YLICCASC 1 <br /> c �3 Dar . 197 <br /> SKETCH LOCATION OF WELL ON REVERSE SIDE <br /> DWR 188 tREV 966Y s ya acts Twti Or ol. <br />