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u [ 1 t <br /> / <br /> 9Rp <br /> [GINAl. M .^..........._..� __ _ STATF-0rCALIFORN1A Do not fi7d_ul <br /> J THE RESOURCES AGENCY L <br /> He with DWg DEPARTMENT OF WATER RESOURCES No. 185791 <br /> V1 Intent N WATER WELL DRILLERS REPORT state.Well No--- <br /> M <br /> o e <br /> r at No,ae Dat Other Wail <br /> I 4 <br /> (1) OWNR am f (1e.) WELL LOG: Trial cloth—ft Depth of complete$Wail— s <br /> A tJ from ft to IL F—Won (Desedhe by color, chasaoter she or material) <br /> C,ty -- <br /> (2) LOCAITON OF WELL (Sea inammions) _ <br /> Cc a' Owner's Well I- be — <br /> Well addrm if dWesent from abo <br /> TomuhiD . <br /> 17.atance f Clifd,maa7.Yat ,fence},op <br /> I 1 <br /> NX <br /> (a) TYPE OF WORI:{t <br /> m", Wall A I)eepeatng❑ a„ <br /> ldaconsertutoa p +h <br /> Reconditioning <br /> dlodzontal Well Q <br /> Destructeon[] (Describe •• � {� <br /> dastruction materials <br /> peacedura in Item — <br /> (4) RROPOSED +1 <br /> ��r_ Domastic <br /> t'L� Irrfgattno .4 � f] <br /> d ItdustxlaJ ,'� #� Q '� •..� <br /> t*j <br /> TI, Well <br /> NAVY t)v4v <br /> hfteM� ; • — <br /> IYELL LOCATION SKETua \/" Other s — <br /> (S) EQUIPMENTS (g) �pACK,$' <br /> Rotary C1 Reverse []/", <br /> Cable p Air ❑ 1064 ` <br /> ti <br /> Other ® Bucket p — <br /> (7) CASd1YG AL7R"V—,.t <br /> steel p Plastic p Cobcrete Type of mpr of ser <br /> From TW-- Dte. Gag,-V, Ffe,$, *� To <br /> IL N in Wall <br /> ti <br /> (8) WELL SF.ALt l, <br /> Was mrfaee sanitary seal provided? Y0529 No(] If yea, to doptlt �t, w <br /> Were strata waled aealast lbC R fifes Ne. L2Interva <br /> Method of r Work start7-7�;-- M.-ft csnpleted. <br /> (20) WATER LEVELS; WELL DIULLER S STATEMENT- <br /> Depth of fiat mater. If ft Thfs well d ed tender mu pCrfadoallon and that yapnet is two to st"m bars Of my <br /> Standing level after well gamnletl ltlwtodedit and e. 6} <br /> (11) WELL 'TEST'S Sierran <br /> Was well teat made? Yes ❑ No 1% If yea, by whom? � r (Wen r)� <br /> Type of test Plump ❑ Erie:Q Air lift p NAM <br /> Depth to crater at stout of test # At eat of test—:fie ^ �Parso itrm, or tfrm) (7wjta or printad) <br /> a set/mut Aft— t+0aa Water tempo Addsea �j G•r� <br /> l d analysts r,s4de? Yes p No❑ If ter, by whom? City71 <br /> trio log rowde? Yes I] go ❑ If Yee.attach eopy to this Cavort LI...No +ata of this mpa <br /> WR xee (Rsv 7 7e1 IF ADDITIONAL SPACE IS NEEDED USE NEXT CONSECUTIVELY NUMERRED RED F'ORM <br />