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i <br /> z hlr.; 1 � 1966 <br /> ORIGINAL WATER WELL DRMLER,S REPORT ' Do Not Fill 2'zs <br /> IPile with DWR (Sections707l.7090r 7021.7092,Wafer Cod.) N9* <br /> THE RESOURCES AGENCY OF CALIFORNIA <br /> DEPARTMENT OF WATER RESOURCES state Val H� <br /> ;ZZrc�lOther Well W* <br /> (1) OWNER: (11) WELL LOGE <br /> j Name ii-rank Cxoonan7� <br /> ATotal J"46 143 fe Deptls of co Iemd wall it <br /> Address t or ao <br /> Paemttlone Drrerfbr br rota,ebaacfrr,7177.J ererrrid,e+eJ rfrirererr <br /> a OC' ons C. a It to 3 "dobe lr <br /> (2) LOCATION O 'WELL:ELL: ay room <br /> Cater 'Ban Joaquin Ownes'a aambar,It say Z2 !!1 an <br /> r <br /> Tewssh[p.Rao ,and 9acclan ? R 0 boo* `-1 54 4 <br /> Dituom freer.1ties,toady,radmads,sty 5455 s`„?find <br /> 58 78 Clay f3of't <br /> (s) TYPE OF WORD (check). 78 C 1 ay <br /> New Well 11 Dcepemng [] Remndstiontng 0 DutroyEns 0 144j band <br /> I/$431rXCEM,drsenbe W"irriad ova roeadtsreanI&M11 <br /> (4) PROPOSED USE (ek*cA)1 (S) EQUIPMENT: <br /> Domestic ❑ Industrial ❑ Municipal ❑ Rotary El <br /> Irrigation ❑ Tear WeH ❑ Ocher❑ Cable <br /> Other [] <br /> (6) CASING INSTALLED: <br /> S'TRI s OTHER If gravel packed <br /> 91NGLZ i2 DOUBLE 0 <br /> Gage Diameter <br /> From <br /> To <br /> or of (from To <br /> it. 14 Dlarn Wall Bore it. it <br /> .I0o <br /> Sue of alae or well net ' b 2 Sire of ArlTel <br /> Describe .IAT gelded ' <br /> (f) PERFORATIONS OR SCREEN: <br /> Type of Perforation or as-vof sages Nono <br /> Perf Rows <br /> From Ta per Per Sao <br /> It It row ft <br /> (8) CONSTRUCTION- <br /> V32 s sufficetansta tral vrondedi Yct(3 N041 To what depth it <br /> Vett any strata sealed a,Xateat p0llntsea? y"Ej me© If yu,note 16PC6 of strara <br /> from fr,to it <br /> prtnn h to fc Work.,..d Aril 19, 6 ,C leadA ril 20,,676 <br /> Method of waling VnL DRMLER'S STATEMENT lv� <br /> (9) WATER LEVELS: TIM wail was drilled aadrr wry furltdktlon and ihfs report)u.irae to the but <br /> IIe th it which water was firet foend if kmm <br /> 7 ft of wry lin—ledge acrd belof <br /> Soothe Is.el hefon t!dotsting, it knomb It NAME J. A. ThalbamorYr Co. <br /> Standrn9 level after ottfocands end deed r It (Peetea,firm,et oetponnoa) (Typed or trf reJ) <br /> (10) V TLL TESTSi Addrm 27Andrew Ave* <br /> rsttreede? Yea0 ?1.o if o, b whom? USII drill.or btof% on Oalif. <br /> Ito Rol/roto wsth 1 it �—ffit&-&-fhteEs <br /> r 2 keg $It71d8D] <br /> tfJ 11rR rr <br /> Trmpuatttre of water Wu.chemtesl saalYe ❑ No ` J <br /> Wv elmerle 1oa made eF wrlli Yea ❑ No❑ Lteense No -- �'- �U- T1pLee1 A�Y'i1 20 196 <br /> SKETCH LOCATION OF WELL.ON REVERSE SIbE <br /> DWR 188 yak„ aas, 7e191.sw le ee anal TRIP G7 A eov <br />