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ORlGINAR STATE OF CALIFORNIA Do not fill in <br /> Pule with DWR <br /> HE RESOURCES AGENCY <br /> [DEPARTMENT OF WATER RESOURCES No. 097938 <br /> e of Intent No WATER WELL DRILLERS REPORT State well No { <br /> emit No or Date 81-122 Other Well No GzSo �;J9N T" <br /> ( 1) OWNER \Derr nlbertha De$oer (12) WELL LOG Total depth.-2-Mt Depth of completed well 2 Gtr <br /> Address 13731 4. West Ripon Ads from ft to ft Formation (Desenbe by color character, size or rnatenal) <br /> City Pon, a ip 95366 "andy 11 <br /> (2) LOCATION OF WELL (See instructions) Sand <br /> County v `� d Owner s Well Number _ 16 24 ri <br /> Well address-if different fmm above 24- 36 `hand <br /> Township Range Sectio 36- 40 "la <br /> Distance fmm cities roads railroads, fences etc N• E• corner Of 40- $ d and7 gravel <br /> Jack lone and W. Ripon lid. 48- 5 � <br /> E>•l <br /> - an <br /> (3) TYPE OF WORK ay <br /> New Well 1, Deepening ❑ Qanoy clay <br /> I Reconstruction ❑ 13b - 44 Zarw* <br /> t � !! <br /> Recon <br /> ditioning ❑ -- <br /> �� Horizontal Well ❑ - Lb <br /> Destruction ❑ (Deserbe = L90ay <br /> ko destructionmateria is <br /> procedures in item ue c <br /> `+r (4) PROPOSED - r0 <br /> N Domestic <br /> Irrigation <br /> ` Industrial O ❑ <br /> T Well ❑ - <br /> Stoc - <br /> W 47 Mumcip <br /> \► <br /> ELL LOCATION SKETCH Other ❑ � <br /> (5) EQUIPMENT (6) GRAV%N. <br /> CK qnd I am not responsible <br /> Rotary ❑ Reverse 13 ❑ Size altering or rwioyi-na of the <br /> CableAir ❑ r of bore - <br /> Other ❑ Bucket ❑ in t - <br /> (7) CASING INSTALLED (8) ERFORAT - <br /> steel Ck Plastic ❑ Co a Type of pe a 4 r\ a of scree - <br /> From To Dla Ga Fr To - <br /> ft ft in WaII ft ft Z <br /> i - <br /> 1.0 <br /> (9) WELL SEAL <br /> Was surf ite b imtary se it provided? Yes ❑ No R If yes, to depth ft - <br /> Were strata sealed against pollution? Yes ❑ No X Interval _ t - <br /> Method of sealukk Work started- -L9 §1 <br /> (10) WATER LEVELS WELL DRILLER S S lit I F\IF\I <br /> Depth of fiint water if known 18 ft This gall uua bdr .l +.rnl r r r<.< r IPW hr<r <br /> +} my <br /> Standing lesel after well completion- Rnou,ledge Y� <br /> (11) WELL TESTS Stt\Lulie_ � -ts _ <br /> Was well te,t nude" Yes ❑ No R If yes by whom' y\•= I s. <br /> Type of test Pump [] Bailer ❑ Air lift [] \a\IE Panerc T,ell �riy. tie lrir_. ' <br /> Depth to .,at it yt in of test ft At end of fest It <br />%ha4 A'nun after- _ -hour \\ ittr tanrlmitiir-- Aiddic,._�,._31 .tit. Oakdale, ..a 11f . r S53b1 <br /> 1 uiiilysn road.' urs ❑ \o 0 If yrs by „h„n1, _ __ - 13114 �J �pl�\.r i It +i, lit nh , $1, I tl.t. Z.H I . rpvr 1 ^� 1i..� + i rt -` 16 <br /> DWR 1e9 IREV > 70 IF ADDITIONAL SPACE 15 NEEDE0 USE NEXT CONSECUTIVELY NUMBERED FrOH1,I <br />