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ORIGINAL INAI. _ STATE of CALIFORNIA Do not fill in `� <br /> File with DWR THE RESOURCES AGENCY p� <br /> DEPARTMENT OF WATER RESOURCES No. 0 8 3 7 6 3 <br /> Oilc of Intens No. 175360 WATER WELL DRILLERS REPORT <br /> ]Pd P5iato Well No, <br /> ]Permit No,or Dnte •_ 4 F <br /> Other Well No.�2S� ��E_uo <br /> Hank Wallenbur <br /> 606 AWF -LOG* <br /> Address O <br /> from ft. to ft Fortnntiun (Describe byl�color, ehnrncter, size or material) <br /> Ci 1Y + ip - I y Ops O] <br /> (2) LO%ROt O LIxi LL (See instructions). - ay r s Olne sari Ayer <br /> County �tl ownees Well Number ^ 20 Sand <br /> WaIE address I aiJenl(mm above - 3n Q' ay avers <br /> TownshlP Rnngo Se ti <br /> Distnnca from cities,rends,railroads,fences,etc � s Wy t <br /> ^ <br /> (3) TYPE Off' WORK- <br /> New <br /> � <br /> Neto Weil] Deepening❑ - <br /> Recoastnection p <br /> Q Recuudltfoning ❑ e e Vt $s, fns a e O <br /> Horizontal Well ❑ no • res <br /> VV <br /> ` Destruction C7 (Describe a O r V g 0 e <br /> �"' '•Ti"' destruction materials i <br /> �roe <br /> � procedures is Item • , <br /> )� (4) PROPOSED <br /> Domeatic - <br /> / I -0 Irrigation ❑ <br /> ( Industrfal 0de Nell Q <br /> 10 Stoc <br /> Munici, <br /> ;YELL LOCATION SKETCH Other ❑ - <br /> (S) EQUIPMENT. (6) GRA AClct { <br /> Rotary U Reverse ❑ :S No S1 11 <br /> . <br /> Cable ❑ Air ❑ t rr of bore <br /> Other 0. Svc&el Q ffom <br /> (1) CASING INSTALLEDi (8)� ERFg <br /> Steel 0 Plastic� Co to Type of pe at or a of ser From Tv Dia. GEI @ FT To <br /> ft. ft fn. W1II ft #t. <br /> a 70> 10 rl It _ <br /> (9) WELL SEALS � f <br /> Was surface sanitary seal Provided? .Yes Q No [I If yes, to depth aft. <br /> Were strata sealed against po6ilfg Yes❑ So'�i Intervni Ft - <br /> Method of scalingl+@IE1t3I1 is Work starter)_10122 Tt, Comple d 18 <br /> (10) WATER LEVELSt WELL DRILLER'S STATEE <br /> Depth of first water, If know27 it. This waif was dr, ander raft rfsd Ion nnrl report is erne to the best of my <br /> Stsutalnir loyal offer well cornptetio t. knoteiedhe an elieJ <br /> (11) WELL TESTS: SIGN" �y <br /> Was well test made? Yes ❑ No EX If yes, by whom?Type er0 We3.1. ( rig; <br /> Type at test Pump Q Bailer❑ Air lift❑ N,&Mj, <br /> Depth to water at start of test - - it At end of tesz_ft 1��,cfi$e� ifirr�8r R r �Qnj�(FyPy�,Qr rfntad) ; <br /> arae, 1/min aftar hours Water tempera Address ]V a t3 1L cc i►vd <br /> ty e� & ]- • i <br /> cal analysis made? Yes [J No Q If yes, by whom? Ci779 , <br /> j��- <br /> 1 Was electric log made? Yes[J No i7 If yes,attach copy to this report Licoase Na. �.. *rate eF this repo�. F <br /> DWR itis (FIKV.7-7o) IF ADDITIONAL SPACE IS NEEDED, USE NEXT CONSE=CUTIVELY NUMBERED] FORM i <br /> i <br /> J <br />