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I <br /> STATE Of CALIFORNIA ' Do Not Fs1l In <br /> File <br /> ORIGINAL <br /> ith pwR DEPARTMENT OF WATER RESOURCES N2 125374 <br /> WATER WELL DRILLERS REPORT State well No <br /> wA °cm`s°� e - jo <br /> 1) OWNER• (]1) WELL LOG. <br /> ami <br /> Tot.]drpth92 it Depth of completed well90 1s <br /> Address Formation Dnrnbr by color rbrr.cur atu of,w.srnd sod strrrrrrr <br /> fe toTnp gnilft <br /> ' (2) LOCATION OF WELLr3nyqqnr ` <br /> C- .oty Rqn. Tnaclivin Owner s number ,f any <br /> Tovnsh,p A—ge and Seeuon <br /> Dwance from nun roads railroads etc _ qPn�_ <br /> Enljtb _ <br /> (3) TYPE OF WORK (check) <br /> New Well 1t Deepening ❑ Reconditioning ❑ Destroying ❑ <br /> 1/drsfruct,on describe matrrtaf and Procedure an!leve I I <br /> (4) PROPOSED USE (check). (S) EQUIPMENT <br /> Domestic [2 Industrial MunlclpaI [] Rotary 12 <br /> ' Irrigation ❑ Test Well ❑ Other ❑ Cable <br /> Other � <br /> (6) CASING INSTALLED <br /> STEEL OTHER .{. If gravel packed <br /> ' SINGLE ❑ DOUBLE [DL c <br /> Gage Diameter <br /> Fran I or of From To <br /> ' - fE rt Dom Nall Bore it it <br />'qq111111jjjjjj�rr u, hue 5 r of er.vcl <br /> 11- <br /> (7) PERFORATIONS OR SCREEN <br /> ' Type of P-11—,— of,ween CZ I <br /> Perf Rows <br /> I-ront To per per Size <br /> ' ft ft row it to x,n <br /> 11 <br /> (S) CONSTRUCTION <br /> ' W, .or tacr. . ..,1 rru,J.J, Yr. 10 Jr] To whit dep.h ft it <br /> Wrrr.n. iiia. a J ,r.r r p..11u+ion' Yr. No C' If>ct note depth of straea <br /> prom e+ a f+ <br /> ' trrum It ,u It Wark uusrd 1, 75 c—plrsrd <br /> Hrrh d t s.l r F' SVELL DRILLERS STATEMENT <br /> (9) -WATER LEVELS Tbu air!! s,.s Jr,11(! s„rlrr .e, Irr.,l, t,... ..4 <br /> U"" ,t .A h . n.a bund it lnv_n tt ul m),A vua+lrl;r j.l1whef <br /> \14till <br /> %e, e 1 ,11 -,1 <br /> (IU) WLLL TESTS <br /> l <br /> J. t_ 1 �5 <br /> Y.-- - l�rw.. N, �t�,.Gi <br /> bKE7CH LOCATION OF WELL ON REVERSE SIDE CONFID=NTIAt LOG <br /> futfer Codd 50c. 13752 <br /> DWR Intl rtt. 9 •• ��ta.nos.fiaonrstr(DT <br />