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ORIGINAL STATS OF CALIFORNIA Do not fill to <br /> THE RESOURCES AGENCY <br /> Je <br /> with �Wa DEPARTMENT OF WATER RESOURCES No. 47975 <br /> tice of Intent No WATER WELL DRILLERS REPORT <br /> 7 --7�! W� State Well No <br /> Iwrcal Pmit erNo or Date /7 /,7 Other Well No r <br /> 14 <br /> WNER Name Melvin Ba rtoo (12) WELL LOG Total depth_q ft Depth of completed wol qb w <br /> A 22800 J• 11 99 from It to ft Formation (Describe by color, character sue or material) <br /> Ri on C lif ;, <br /> LO�ATIC N OF ,WELL (See Instructions) <br /> County_ an asgw-n —Owners Well Number 16 & clay <br /> t.address <br /> if different from above 1 -21 le & s and <br /> ship Range Sectio 21-2 Sa <br /> Distance from cities roads railroads,fences etc a <br /> Rd - a sand <br /> an <br /> Clay <br /> (3) TYPE OF WORK 5145 Sand <br /> New %Nell [g Deepening o Clav & shale <br /> Reconstruction ❑ 7— and <br /> Reconditioning ❑ le <br /> ' Honzontal Well ❑ — l S+ <br /> Destruction 0 {Describe Sha <br /> destruction materials <br /> procedures in Item <br /> ' (4) PROPOSED - <br /> Domestic <br /> Indwtn O - <br /> ] dustal ❑ <br /> ' t \%ell ❑ _ <br /> Stu Q <br /> Mumu ' <br /> WELL LOCATION SKETCH Other ❑ <br /> U1PMENT (6) GRA PACK <br /> Ro ❑X Reverse ❑ \o Size <br /> ]r ❑ Air ❑ ter of bore f� _ <br /> rr Bucket ❑ rum v _ <br /> (7) CASING INSTALLED (B PERFOR S - <br /> 1 ❑ 1'lastu {X f , 'I T)pe of pe i m o ze if scree <br /> 'roil] ft Dia r F To <br /> ft f In Wall ft IsI _ <br /> 9 160W— - <br /> (9) WELL SEAL �(� - <br /> fre <br /> surface sanitary seal provided les No ❑ If yes to deptli�ft strata sealed against pollution? Yes ❑ No ❑ Interval rt _ <br /> Method of sealui \Murk sten lU t r,y,lnr.! 18 <br /> J) WATER LEVELS - M,ELL DRILLER S 5 f i,Cr mk w <br /> Ih of first water if know n ft This U.11 _ <br /> ding letel after well completin ft imulc4eanddl,rLr} r.Frr i+....lrrw .—I I.%.. .i r.s,e r 0Wf.rw „} ry <br /> (11) WELL TESTS S u <br /> ttcell test made Yes Cl No 5-cIf yes by .+homyof tent Pump {] Sailer ❑ Air lift [} _ Hennin i'p3I'311 nCoR 1 IISSr•h to utter at start of test N At end ! test rt . W 7rywl r y.wwis, <br /> Disclirrl,r-,.,�_y.al/nun iltrr_ h„un \lair! Ira,i�i.tyr.�� _� 77— <br /> k , <br /> odo:. ;.o Calif. <br /> 7 <br /> nircul rnalk s,s rr <br /> i„rclr' ]r. \„ I I l�t�_� A r t <br /> L � M <br /> ,tri. I�� lis t) \ If � r'. b t , t rr .� -i I � \ r 3 T `-'- r h. ��...t U <br /> ts” .t. 7 70 IF ADDITIONAL SPACE IS f LEDL ] UBE NEAT COMfECUIIVCLV NUMtlE1141E0 TORN <br /> I <br /> 1 <br />