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f ry—E OF CAUFORNI'-A DO not fIu 141 <br /> f ...�iNAL <br /> THE RESOURcEs AGENCY <br /> File with DWR DEPARTMENT OF WATER RESOURCES NO. 3 6 1 3 9 <br /> N,.Neo r.f In[ent.In, 'WA'T'ER WELL DRILLERS REPORT <br /> Stats Well� No__-s Lnral Pcrmit No. 01 TW Other Well ,;,,Q/N 7 <br /> -YWNCR: �amr (12) WELL LOG: Tat,il deytl,_.�ff. Depth of Completed P II-I.7 f;-ft. <br /> 5 � Addrrs (mat ft, :to ft 170 marinn (Describe by ml-r, elnrareer, .Az or materials <br /> C'itt• 7,ip <br /> f 2) LOCATION OF WELL ( ); <br /> ( See instrnCtigny <br /> Counr>-_San tTOa(�lllri OA%mei s \Vet]Nuntbet48 <br /> Well uddr'n% if diifcrcnt frnnr above 48 — 70 ala <br /> Ll �r..,,.tt�Itl 70 80 sand <br /> v Range_- -. _ - Sectio <br /> Oistonrr(arta rifles,mad6,ra111Y.ads,Truces,etc. <br /> 80 - 92 ala <br /> 92 100 sand i <br /> . 100 06 ;a ay <br /> 106 - grave <br /> (3) TYPE OP' WORK: 112 - ay <br /> Ne". 1V011 Den--Inc ❑ Lis124 gravej. - <br /> {. Ilsrttsnilructfnn Q - .'G. ay . <br />` Hernnditinnipq ❑ 130 sanZI <br /> f Horizontal tVell fl grave <br /> Dealrustioa r- (De;p,�ne - c ay grav <br /> destntctiott mutarinls and <br /> J procedures in Item 12l _ 8 gr V <br /> (4) PROPOSED USE: 3:80 -.2:90 sand 26ne <br /> LTrrigndon ❑ — <br /> Industrial 0 - <br /> - Teet Well _ ❑ ' - - ' <br /> F WELL LOCATXON SREFCII Otho 0 - <br /> t Sl EQU1PMENTi (6) GRAVEL..PACK:. — <br /> otary ❑ RDCrrc ❑ Yes n _.V. © <br /> Cable ❑ Air 0Diameter yF W+ <br /> Othrr [] "C' p Packers from- <br /> (7) CASING INSTALLED: (8) PERFORATIONS: <br /> Steel 0 Plastic ❑ Concrete Q. Tyt1e of vcrfamtlon or size of screen <br /> Frntn To Dia- Gage or From To Slot <br /> ft, ft, in, wall ft ft. size 0 17 _ <br /> t .. <br /> u <br /> (9) WELL SEAL.: - <br /> ri' WY surfr,cc Fanitary 1cn1 Provided" Yet .'Nn ❑ If Yes. to <br /> Wert. ttrsta seated against vallution? Ye: ❑ No ❑ Interval._—r, ,ft. <br /> Melhad of tea' Work started' 19 complet I19 <br /> k <br /> (10) WATER LEVELS: WELL DRILLER'S STATEMENT: <br /> Depth of first water, if knoweL Thfr well tua.- drilled under my iuriidictian and this rcnar7 fa trrrc to rhe hast of mt. <br /> Skwadin¢ love, after well t-mitt on ft. knawIcdae and belief. <br /> (1I) WELL TESTS: 5nca�u <br /> 1Var .veil test made? Yes G No Ll If yes. by ,,bnm? (Well Driller) <br /> T>•1x of test Pump 9:uler 0 .lir lift❑ NAM <br /> Depth to wnter litstart of t('St ft, At cnd of teat (t �. I PCnOn, Erm,or corPOration) ypEd Pr printed) <br /> 11 <br /> f Diachltrce. —___ cot/min after..,,,,._,,-----huurn \Vater temperature Address — tpn s—,908 - C�fny <br /> - _ _ cid'. ;r 9J20L ---- <br /> Chtmical nnalyYi] made? Yes © No ❑ If Yes, by whom? <br /> W" 'eetric Ing M;Nde? Yea ❑ No ❑ If yea. attach Copy to this report Liconse Fin.;; 20 Dare ni this report— . <br /> 9 ,REV.7•7et IF ADDITIONAL SPACE IS NEEDED, USF_ NEXT CONSECUTIVELY NUMBERED FORM s1e,e.2w T-79 50K aUnp Or OSI <br /> E i <br />