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Y I10IU11 VC Ifa1G1 A"UUKILJ ' P 90X1079 SACRAM'ENTD S CALIFORNIA EY in Fill Do Not ll I WATER WELL DRILLERS REPORT 1 E wt �� ,(Sfdtro.$7076,7077,7079,Water Code) State Well No Other Well No Region—_ -- - ----------- ------------ --- ' 32Aai. (7) Perforations- Type of perforator used-- - - - -------- - -- - ------- ---- - - - - Perforated________�.._.jiA------ft to �, 1 £t Hole size-1/4b[,__1 1A--_No of holes__22_ggr-___ft,. ----------- --- -----"--------_"-------------„ „ „ „ n 1 „ a, „ -- -------------------- ------- ------ ------ „ a• as „ „ „ a, ., It - - - - -------------------- ---- --------- n „ ,. ,. v ' (9) Water levels: (9) Well pumping test: Depth at wluch water Date of test —By whom---____----_------------------------ ' first encountered__-_ _ _________—__ _ft Depth to water when test started—________ _ _ ft Depth to water G P M at beginning of before perforating_____-____-_ -----------.. -ft. Drawdown from standing Depth to water G P M at completion of after perforating_____------------- -ft Drawdown at completion of test—________ _—__--ft Note any change in water level while drilling Length of time -- - --- - --- ---- - - -- - Temperature of water - - -- --Was gas present in water; ❑ Yes ❑ No (10) General. ' Was well gravel packed;_;-------Sjze Size of rock __- Thickness of pack---------- 'Was ack_ --_-_-_Was a surface sanitary seal provided? --- —___-- Were any strata sealed again st pollution; ❑ Yes ❑ No If yes, attach detailed description. ' Strata sealed_--_-- -- --- --— - _- --- -- - _ Was analysis made of water; ❑ Yes ❑ No If yes, attach copy _ Was electric log made of well) ❑ Yes ❑ No If yes, attach copy r t If well abandoned,was it plugged and sealed; Method of plugging and sealing—-- (11) ' (11) Location: un (12) Te of work: North Section No—___ _ Work started date-_ Completed date_"/_I /fkj Township_-.--N_—_M___-_—_ Date of this report/28,81 _ ' S t o -.ktom Rang ------- -__ h Base&Meridian_ -D WELL DRILL ER'S STATEMENT r Show location of well in Sec- This well was drilled under my lunsdiction and this ' tian,thus (X) report;s true to the best of my knowledge and belief O Distances taStf�es from 1 O well, N or S___�{.—ft [SIGNED] _(�[..[. ,� and E or]lit—DQ0-f t. vr.rr rr �� ET Show location of nearest By-_ - _S _ ' known well, thus (0) License No Classification __ 7660; SC -57 __ 1 MILE Distance to nearest known A.00 well_--__ _--ft Dated __-- Al 16 0 w R FORM No 246 REGIONAL WATER POLLUTION CONTROL BOARD COPY 23972 1 10 4ov _VIN 9.0