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t <br /> IGINAL STATE OF CALIFORNIA DO not fiA in <br /> THE RESOURCES AGENCY <br /> with DWR DEPARTMENT OF WATER RESOURCES No. 097909 <br /> of Intent Nn WATER WELL DRILLERS REPORT State Well No 7e <br /> Penna No or Drfr—so-964 Other Well Nook 7�a`E-1g _ <br /> W <br /> N \rn,r (12) WELL LOG Total depth `s Depth of completed weft 12 SFr <br /> Shl from ft- to ft Fgrmation (Descnbe by color character size or matenal) <br /> City �� �,p 95356 an <br /> IW) LOC`-MON OF WELL - rd an <br /> (See Instructions) <br /> runt} Owners %%ell Number ay <br /> ell address if different from abu%r - an <br /> To"fish ip IlrnLr Spech - ay <br /> atrnLL ln,ut times r,,.ds rriln,«ds frnL+es ctc 3418 �. Wilma <br /> (3) TYPE <br /> � OF WORK <br /> hem NVellwyu Deepening ❑ a stand <br /> 74 <br /> Reconstruction ❑ JL <br /> Reconditioning 0 <br /> Horizontal Well ❑ Mf <br /> - <br /> t � �`f j Destruction (Describe <br /> r destruction materials <br /> J procedures in ]tem 1 A <br /> J fi'--L +e e id <br /> (4) PROPOSEDon �1]14e$ ons b <br /> le <br /> N�+ll�r Domestic or <br /> ot Wo ovin of the <br /> 1 Irngation�� <br /> ti ..i O <br /> Iridustna, <br /> tt.Y T Felly ❑ <br /> St _ <br /> Mumcfp <br /> «ELL LOCATION SKETCH Other ❑ _ <br /> 1:ary <br /> EQUIP11J�\T (6) GRA PACK It Reverse ❑ g) No Size <br /> hie AirII <br /> � er of bore <br /> Othtr ❑ RuL kct Q om _ <br /> CASING INSTALLED (S) ERF9RA C _ <br /> e1 ❑ PEastic$� C L t Type of pe n or a of scree <br /> From To Dia G r F To - <br /> ft ft in Wall f ft <br /> 160PVr, 9V 12 ly).uvy 311W - <br /> WELL SEAL - <br /> as surface sknitary seal provided" Yes Ck No ED If yes, to deptf 50—ft <br /> "ere strata sealed against pollution" Yes ❑ No CX Interval Ft <br /> th(d of seahn C ement Work start <br /> 0) WATER LEVELS NVELL DRILLER'S STAT XIE <br /> Depth of Tirst mater, if known This well Ivor d under n ons r wool a t rr,.n u tow to Ifar best pf my <br /> ending IV,el after well Lamplortmin knowledge b <br /> 1) WELL TESTS SIG\F,D <br /> s "ell test made' Yes ❑ NO CY If yes, by whom' a Dolle t <br /> Type of test Pump ❑ Bader ❑ Air lift O \`A\IE Fanero Well In }.+� <br /> pth to metar at start uE test �it At end of test it 314��r.ytj rn����"'r�k`ldeTl��`�I <br /> hargr�.rl Inun after fours 1l ater temperature Address k G fi L <br /> L"I dRA11Ls nude les .. \u ❑ if ,es by rh,ans Cip Oakdale. „Qajif,. �']�3�3V1 <br /> _In, I ; e -i" I- ltj \ , If ,,, ott-h , p, to this iap.,rt License \0 333114 _n1.t, t►r ,11123/80 <br /> 80 <br /> 186 �RVV 7 74 IF ADDITIONAL_ SPACE IS NEEDED USE NEXT CONSECUTIVELY NUMBERED FORM <br />