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ORIGINAL STATE OF CALIFORNIA Do not fill in <br /> THE RESOURCES AGENCY NO, 137308 <br /> File with DWR DEPARTMENT OF WATER RESOURCES <br /> r of Intent No WATER WELL DRILLERS REPORT State Well hoz -7 <br />' 'ennit No or Due Other Well N Aj G ! <br /> (1) OWNER N,., Herb SchmollYnger (12) WELL LOG <br /> l Total depth ft Depth of completed well ft <br />' <br /> Address- 3 W• swain Rd. from it to ft Formation (Describe by color character size or material) <br /> cit,_.._S-tQckton ,,p 0 6 Adobe <br /> (?) LOCATION OF WELL (See instructions) C n W Sand Streaks <br /> County Owners Well Number _ 22 <br /> Well address if different from above 22 _ 32 S and Ci.lay <br /> Township Range Sectio 32 34 Sand \ <br /> Distance from cities mads railroads fences,etc 34 - 57 'C.la & Sand <br /> -98 <br /> t 58 - 60 C <br /> 60 - <br />' (3) TYPE OF WORK 64 r,> 76 \\B l e Clay <br /> New A%ellK Deepening ❑ <br /> Reconstruction ❑ 78 \ I'llReconditromni, Q `\81 1�y.�0 B-1U& `C1 W <br />' <br /> Horizontal «et1 Q \ - �•• S <br /> Destruction C (Describe \15-2-,,- 160 Bl _ <br /> destruction materials and <br /> procedures in Item 12)/ <br /> (4) PROPOSED�USE> - _\ <br /> 1 Domestic \M <br /> /1 • <br /> Irrigation \\ <br /> • <br /> Industria! \ \�\•� ❑ �•.� - \� �-' <br /> Test Well •.''// ❑ <br /> Stock• ["r <br /> �r% %fumcipad ❑ - -� • ^' <br />' WELL LOCATION SKETCH •`"-IOther ^� - ❑ = <br /> (5) EQUIPMENT (6) GRAVEL PACK 1 '\ <br /> Rotan Reverse ❑ Ii. a No E) Size ° <br /> ❑ - <br /> Cable {1 - <br /> ❑ Air `��iameter of burr rt ^ <br />' Other O Bucket [] P ca ked.fro 50 to 1-6ja­�c_ <br /> IT) CASING INSTALLED (8) -PERFORATIONS <br /> Steel Plastic ❑ Concrete [4 Type of perfoiadon or sae of screen,From To -- Dia Gagc7br From -� To Slot <br /> ft ft . in Wall £t '-,1\ ft. 's ze <br /> (9) WELL SEAL <br /> Was surf,%ce sanitary seal provided' Yes ❑ No ❑ If yes to depth it - <br /> Were strata sealed against pollution? Yes ❑ No ❑ Inter%al it - — — — <br /> ilfethnd of seahn Workstarted_ 19 Cc�riplet-d.-. 19 713 <br /> (10) WATER LEVELS NbELL DRILLERS STATEMEVT <br /> Depth of first water if known - ft This uel! aas drilled ander my firrisdietion and this report is true to the best of my <br /> __ __ _ _ <br /> Standing level after iwellcompletion_ ft .lno%zlr4e and belief <br /> (11) WELL TESTS Sic-,E- <br /> Was well test made? ]es ❑ No ❑ If ves b. whom' («ell Driller) <br /> Type of test Pump ❑ bailer ❑ air lift ❑ NAME Noack PLUIlp 3� __.. <br /> Depth to water at start of test_ ft At end of test---it it i .(,Person,find o�r}xirahon) (Typed or pnnted) <br /> P-^harSe vgI/,..,,. after—---hours Uiter temperature AdGrcss.,",,,_,_,p <br /> . -cal analysis made' Yes ❑ No Q If yes by whom' City q-Q t-,3Qk—Qn - Cal 7,1> C�C�,201 <br /> Was electric log made' Yes ❑ No ❑ If yes attach copy to this report License No t ate oL this report <br /> IOwR t88 tieEv 7 7e1 IF AC)D1710NAL SPACE IS NEEDED USE NEXT CONSECUTIVELY Ld -iMBEREI3 FARM <br />