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ORIGINAL Vii' �• F 1 t_ ,, <br /> WATER WELL DRILLERS REP t I <br /> Me Orlgfaai,Duplfcafe and irlpficafe wifh Ike � ��,'�` Da Not 1�IIl In <br /> REGIONAL WATF POLLUTDON (Section,7976,7077,7078,water coda) N° 48185 <br /> e <br /> ' <br /> CONTROL BOARD, No`b STATE OFC State cII <br /> •rtrIappropr?oti camber) ALIFORNIA I No`_.,....._ <br /> (1) OWNERS <br /> {f (11) WELL LOG: <br /> Name Su7CeCI].'].9�.l Nursery - 114 <br /> }t A <br /> TotsF depth 114 ft, tit of eom Ined well 114 <br /> t. fs. <br /> t 'Jxf n meteti <br /> r a,an f ruel.rt, <br /> fr.to fu pn So i /I— - <br /> Hazan 1"7 <br /> (2) LOCATION OF WELL: �Z <br /> 03 <br /> •• i <br /> __D <br /> Caaary S,ani S ibaue owner's nawher,It my— Sand J w <br /> R.F,D.or Street No. - <br /> 3Jeax " <br /> W. Corner of <br /> Sand <br /> 107 All <br /> flx& <br /> Sand <br /> (3) TYPE OF WORK (check): <br /> New,611 CX Deepening ❑ Recondidoning ❑ Abandon ❑ <br /> tI <br /> Ij abcrsdonment,dedcrlbr vnaferfeland proctdure in Item 11. •� .• . <br /> (4) PROPOSED USE (check): (5) EQUIPMENT: <br /> Domestic ❑ Industrial ❑ Municipal ❑ Rotary ❑ <br /> Irrigation ® Test WeH ❑ Other [) Cable J <br /> Du Well ❑ <br /> (6) CASING INSTALLED: If gravel packed ` <br /> SI NCLE® DouBLE Ll <br /> Diameter fteQ t - <br /> FrOB1 it.to ft. Diana. Wall of Bose ft: o,to <br /> 12 12 <br /> Tppe cad Stec of ehoaer.ell doh 12x5-ft4 Sim of drarsen „ <br /> DucdMldnt Welded .. ,. � �` T I <br /> o <br /> (7) PERFORATIONS: <br />. Trp,of petforatetr urcd N <br /> Size- of erfonrione in.,length.6 In. - <br /> kFrom ft.m ft. Pest Ver row Rowa per ft. <br /> v <br /> (s) CONSTRUCTION: H ' <br /> Was a sarface,stile real sorided? Clya depth ur F ❑No To whit d ch h, � <br /> ' I <br /> Were say strsts eeded adaitnt polfntleat (I Yes ©No u pry nota depth of strata <br /> Fr= fr,to it. <br /> Method of Sealing wort erected_ y� Ari« "57 22.._�.67..1Coeapined Taz3 <br /> (9) WATER LEYELSt WELL DULLEWS STATEItI1;NT: <br /> MY well was drilled under my jsrisdlclion and chis port fr true to the belt of <br /> Depth at wl6kh eater waa fin,faml it, <br /> my knowledge and belkf. � <br /> diadItreibeforeperfaratlas tee NAGE �r`') V,ll) •y - <br /> .dinE tare{alter exrfontiaE (r, <br /> (Per»-7-Box <br /> ar,flepw,o eotparationl ?TYprd or primed) � <br /> Address- Rte 'r Box ,a.,5 O I <br /> (10) WELL TESTS: " r <br /> �J Was a pomp me ns'"t Jj Yes ❑No if pts,by whom? <br /> Yields ----- <br /> dal./mice with ft,draw dowa after bet. •--.- ,.. <br /> 7s ArlHc <br /> Tetapetature of water Was a chemiael sndysis aaadr? [I Yes Q NO License Xo. ____A7T45P_ Dated-_ _- <br /> WseelectrieloEmadeofwdl? ❑Xa ❑No sscess•64sostaatk@ape, DVYR FoRMNo.2461RRv.8.8a► <br />�It <br />