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y STATE OF CALIFORNIA Do Not Fill In <br /> THE RE50U RCES AGENCY 9 3 4 7 <br /> ORIGINAL DEPARTMENT OF WATER RESOURCES � `"�jO <br /> Fila with DWR � <br /> WATER WELL DRILLERS REPORT to State Well No EIs - <br /> Other Well No 71+ W <br /> (1) OWNER (11) WELL LOG: <br /> Name Ripon FarM Service Total depth fc Depth of completed well it. <br /> Address HWY 9a & Jacktone Rd a Formatmn Drrcrrbe b color rbererter rrzr a <br /> y )mrtrrial and strrert.re <br /> f[ toTop gni Ift <br /> (2) LOCATION OF WELL <br /> [.ountYSan0­­­.b­number tf any a—lo Hn rel pan <br /> Tuanrhtp ita[[xr and Seet.on <br /> Uia unci lrum�rimx roads railroads etc <br /> (3) TYPE OF WORK (check). <br /> New Well ® Deepening El Recondaloning Q Destroying ❑ 60-105 Clay <br /> If destrueteors,describe material and procedure to Item 11 <br /> (4) PROPOSED USE (check)• (5) EQUIPMENT- 108-115 Hard cla3r <br /> Domt.stic :E] Industrial ❑ Municipal ❑ Rotary EE 21q-1 -47 qbqlA & Clay <br /> Irrigation ❑ Test Well ❑ Other ❑ Cable ❑ <br /> Other ❑ <br /> (6) CASING INSTALLED• 141-15L! Soft, clay <br /> STEELX OTHER If gravel packed <br /> 151-157 qq n el <br /> SINGLE [X DOUBLE C] qbalp & clay <br /> G7ge Diameter SAnd <br /> From I o or of From To <br /> ft It Dsatn Wall Bore ft ft <br /> �[re ut,hut ur.til r,nK site of xrarel <br /> pea <br /> Uesi nbe lu n[ <br /> (7) PERFORATIONS OR SCREEN <br /> Type of prrturatiuo u me of screen <br /> Perf Rows <br /> Brom To per per Size <br /> fI ft row ft In x In <br /> 176 196 1 x All <br /> Cr <br /> I VC <br /> (S) CONSTRUCTION. I 1AL ` <br /> OG <br /> )W a,a,urlace unt[a ry cesl provrdeJ? Y-10 No ❑ To vhac depth ft <br /> V' <br /> SWare any,trita,,algid against poilutron? Yes❑ No❑ if yes note depth of strata <br /> Krum it to it <br /> Krum it to it Work started 9-10 t9 4 Completed 19 <br /> Method u1 xrahnR Epiotonj WELL DRILLER'S STATEMENT <br /> (9) WATER LEVELS- This well was drilled under my lurisdtctiara and ibis report is true to the beat <br /> of my knowledge and belief <br /> Depth ac which water war first found sf known it <br /> Stand'OK [eve] brfure peeforattng ,t known ft NAMEHennings Bros. Drill]_ng CO. Irie . <br /> (Person firm or eorporauon) (Typed or printed) <br /> )candtng level after perforattnR and developtn Fc <br /> (10) WELL TESTS- Address 2500 W. RUQlble Rd <br /> ,as pump test nude? Yes ❑ No If yes by whom? Modest^ if 0 <br /> Rol/min.with f[ drawdown it., bit [SIGNEUI C L <br /> (Will Drill <br /> W_1-11 erasure of water Was a chemreal analyasr made? Yes ❑ No <br /> Was 8tcinc Io ode of wells Yes r ,1().4 <br /> R�n Cl No I(yes attach copy License Na Dated —, 19 <br /> SKETCH LOCATION OF WELL ON REVERSE SIDE CONFIDENTIAL LOG <br /> Water Code Sec. 13752 <br /> DWR 188 (REV 9 69) 25170 960 0_99 SOy TRIP AD 06P <br />