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ORIGINAL STATE OF CALIFORNIA Do not fell in <br /> THE RESOURCES AGENCY 22618 <br /> � <br /> File with DWR DEPARTMENT OF WATER RESOURCES NO. 2 Z 61 S <br /> /_ WATER WELL DRILLERS REPORT state Well No <br /> 1 �'emnt No or Date_•7 7 k 5 i0 Other Well No 'P/ <br />(1 NER N1n1e 12 WELL LOGJJ((��QQ <br /> Total dep ft Depth of completed we1LJ�ft <br /> Address ( from ft to ft Formation (Desenbe by color character size or material) <br /> C <br /> it, <br /> Zip 6 - <br />(2) LO ATION OF WELL (See lnstructiom) _ _ <br /> County Owner s Well Number <br /> Well address if dtiterent from 'abn <br /> Townah,p Range Set tu, 36 <br /> Distance front cities roads ra,hoids fence, etc <br /> - s <br /> (3) TYPE O� WORK <br /> New Well Deepening ❑ N. <br /> Rccanstrucnon © — <br /> I Reconditioning ❑ Q — <br /> Horizontal Well D — <br /> VII <br /> Destruction ❑ (Describe <br /> destruction matenaI <br /> procedures m ite,n — _ <br /> (4) PROPOSED - C <br /> Domestic 7 — <br /> 3 V <br /> Irrigation — <br /> �, Industria] Q <br /> 4a' ' t Well O = CA SLU <br /> st� 4 <br /> h�3.7e Muntcip 1� <br /> \\I l l i OCATIQI SKETCH / Other / ;< enauQ <br />(5) LQLIP%1E'%-r (6) GRA PACK 11t <br /> I <br /> Rotam Ba,ene F1 )41 <br /> \ / t <br /> C tbla L Oar ❑ \ peter of bore ^ — <br /> Othar © Bmket ❑ t rom S <br /> t7Y [ASIS( I�STAIiFD � (K EHF <br /> okaAilts <br /> Sit tI [IPlu+tai �]r t iiia[ Cype of pe m t e of scree — <br /> Flom Ctt Dia Qt( r F c To <br /> ft ft in Wall ft <br /> 17 <br />(9) WELL SEAL <br /> Was surface sanitary seal proNided' les [9Z No 0 If yes to depth �d ft Were strata se-aled aE,ainst pi llutwn� Yes No © Interval ft — <br /> Method of sealing li ork started _I" <br />(10) WATER LEVELSN%LLL DRIL! 1 ti 1 111 X11 \ I <br /> Depth of first water if knownit <br /> ilii. a !! .a r� ! ■ , e . . f rbc f+.al <br /> IIS (, '1 <br /> Standing les el after well complehor>_ III/����!!f {{{///.../JJJiii•••...1/l/l/--- <br />(11) WELL TESTS art "I- 4 ) rLL-y <br /> Was well tgst made" Yes ❑ No @/Yf .es ha %h,m,'_ _ _ 0 <br /> Type of test Pump 71. Bider E) lar lett PL!„k>I� riL I [ l ! n L� <br /> Depth to n,tirr it nt trt of test tt V i i I t <br /> Desch,rec __al min itirrh . , r I � <br /> _i 1 " C�.�1 !C. <br /> t I ext J .n J. i i d. 1 ` ✓ <br /> c <br /> IF AG_ T , •.A to , •.t t i si . , ,.t , _ - _[ _ i ..py 04tr.3 t , tatt _ . <br />