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� y STATE OF CALIFOR141A 1 /Do Not Fill In <br /> 01HGRiAL V THE RESOURCES AGENd4-" <br /> Igla with DwIt DEPARTMENT OF WATER RESOURCES N2 111888 <br /> WATER WELL DRILLERS REPORT state Well No <br /> Ochy d1 No —1 <br /> (1) OWNER: (11) WELL LOG: <br /> Name Del ,=U i <br /> Tonl dtoth (� fc. Depth of compieced cell100Er. <br /> Address p <br /> T Formation: Drar.ibr 6y color,rb+rrrrer,res o/narrri.l,rnl rtrrrt:rr <br /> m _ ft. <br /> (2) LOCATION OF WELL: r,l <br /> py <br /> To.nahip,Ranae,and Seetioa <br /> Diannee from cipq. roads. railrwda.etc. p Q <br /> (3) TYPE OF WORK (check): <br /> New Well 21 Deepening ❑ Reconditioning 0 Destroying <br /> If destruction,dereribe material and ftrocedure in Item 11. <br /> `Ye (4) PROPOSED USE (cbeck): (S) EQUIPMENT: <br /> ' Domestic ® Industrial E] Municipal n Rotary R1 <br /> Irrigation E] Test Well [ Other F� Cable L, <br /> Other <br /> ' (6) CASING INSTALLED: <br /> STEELX OTHER: If gravel packed <br /> SINGLE§0 DOUBLE 1J <br /> a.a <br /> ' Gage Diameter <br /> From t o or of From To <br /> it. ft. Diam.p W211 Bore ft. ft. <br /> +� 0 00 6-5/81 2 11 70 loo <br /> Sem vi rhae rr rdl rine. Site of r-- _ p <br /> I)e—itr irrnt .1ded <br /> (7) PERFORATIONS OR SCREEN: <br /> T ypt of pen-,wn tar nam<of rcreen 1 nt <br /> Peri. Rows <br /> ' From To per per Size <br /> ft. ft- row fr. in.x In. <br /> go- ' 0" <br /> tt <br /> r <br /> r (8) CONSTRUCTION: <br /> V]a .udaee uninrr stat proridtd? Ya No 0 To.hat depth 50 ft. <br /> }+[ Wer< uun.sled aca:nac poilue on? <br /> Y. ,::] Na!] If ver,note deprh of reran <br /> Ftom <br /> I-rom ft. co ft. I Orork s<arrrd _22 If .Eomplctad 19 <br /> r Mvhod pf.oboe en t nn i t e WELL DRILLER'S STATF—HENT: <br /> (9) WATER LEVELS: This well was drilled under my jurisdiction and tbit report it true to The best <br /> a <br /> 5nt found, if kno.n of my knowledge and belief. <br /> Urnch at .hich .a[et a ![. <br /> scandine 1—d before perfonrinR. if kn— ft. ) NAME HenningF 7-1+ C . DrillingR i r1 <br /> Ysnndine level suet w,foratroe anddereiomnr ,0 fe. IPerwo,arm,of corporauan) (7yyr6 arP—trl) <br /> li (10) WELL TESTS: Address 7�00 T.i <br /> %Vaa pvmo rer,made? Yea ❑ <br /> :at.Imin-rich ft,tl—do.a after [SIGNED] -, rZey <br /> i.....ru re of wrrtr mas chrnrical—1—,made? Yct No N1 t (w,H t Ire) <br /> - ' wu<itcrnc iot—ci.a(.eil? Yo !] No if rer. rcope 7 j-,1 <br /> - a,rch License \o. �] 19�,� <br /> SKETCH LOCATION OF WELT. ON REVERSE SIDE - - <br /> ' .7.W R 188 �.P.EV 9-68� a71aa-7!O t-]2 1prt Tari <br /> r ,� <br />