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-- �,OCATbU�NO r <br /> ORIGINAL WATER WELL DRILLERS REPORT a at parr rn <br /> ` Filo O1lainal,baplltate and T1lylleale with the (Saeeroau 7076,M7,lora,Vat,a Code) N9 73525 <br /> REelONAL WATER POLLUTION State Well <br /> CONTROL BdARD Na— <br /> STATE OF CALIFORNIAA� <br /> - Other Well No <br /> fAtfff a�Dte�rlafs seeo6ar) <br /> ) OWNER: 7(11) WELL LOG:Name Mrs. Lillian Walker euld. A tr n.p:b of� ieted well 1 ft <br /> Addrel9 M(' rsa Rd ermatlmehf]e+crfbe fry cAler,rA-^—,tfRe OI IeArnfAl,sud ffYatrfara <br /> L calif0 ft se Is Tbp soil <br /> (1147 <br /> (2) LOCATION OF WELL: 16 Sand <br /> Caaeq SanJas jna.e.t'.A,.ee,..if,e,-. <br /> It P D atSenttNo 19 0 Hava siza <br /> 11mrth ROM of Marse -Edi Haat of O R <br /> 4 2 Sand, 1 me & cls <br /> ;2 51L Cla <br /> Sand <br /> (3) TYPE OF WORK (check): 6h 65r <br /> Sand & dZ my miz <br /> New well 10 Deepetnag ❑ Remadidening ❑ Abendnn ❑ 65 69 01&V <br /> IJiaffdonmtrrt,dacrrde maa`ertal mrd prnerdtere 1.a lttaa 17 _ " s <br /> and <br /> (4) PROPOSED USE (check): (5) EQUIPMENT: 711 ' <br /> Domeatle X] Industnal ❑ MunlClpal [] Rotary ,a <br /> Irrlgaraoll C] Teat Well ❑ otherElCable El RA 0 <br /> Dug WeH ❑ 92 99 Sand & Pea Gravel <br /> 13.1 •' <br /> (6) CASING INSTALLED: 7f graveclay <br /> packed 17.1 ll2 S� <br /> 13INGLE Ct nailer C3 Case „ <br /> [liatgeter Iron m 112 71 {tela <br /> From fr w it Dtm TSA ofsars it. It <br /> 11 1h Sana <br /> Plug 1 116 'l 111L 1 C3,a <br /> 13 v 1 San & Clay <br /> 1 14-0 S d <br /> 1110 151 sad €ilia <br /> Type Sad Soso of shoo at will r+ex Sise of arawrdt l <br /> 51 .t 1- Eland <br /> 25 01jav <br /> 191L 159 Sand <br /> (7) PERFORATIONS: algaY <br /> 7ypeofptrfaaatermttd� NeYI .. <br /> s1ze of perfontI., to,?anxth,by le <br /> From ft ea it pori prat rev Raw par It <br /> LL <br /> all. e , <br /> (8) CONSTRUCTION: <br /> Vit a rosiness century seal pror,ded? []Yam MNc To what dtpth it <br /> Were any stns nand a haat has Z •- •y , depth <br /> n palon <br /> l []Tee •U Ko If er wed th of straw <br /> Fzwn it to <br /> Method of Seahng Work started <br /> 7..19.. 1 3. Camplaerd �-2Q." <br /> (9) WATER LEVELS: WELL DRMIYAS STATEMENT <br /> Tlm fruit wat dnJltd finder my Jnur4coon o?fd throw repgrf Je he to t&r Ettt of <br /> Depth If.srbteb water was fifat faced h way 1mmm *e ettd belki <br /> SsudlexJrrel before pufonslnx ft. <br /> NAME SO JOAQUIN PUMP COMPANY <br /> Aftcrix lett]titer prrforadnx (t (I4non,firm or eorpr.ranon) - Tylyd or Noohd? <br /> Addms 0 . Kettlem n Lane <br /> (10) WEIR, TESTS. <br /> Was a pump tett etsde? 17 Yrs X No If yo,by wham? <br /> yield xal frmn,with It drrw doss altar bet. (51oNan v <br /> f <br /> I , dell llri fpr <br /> Tempantare of VAter oche a eh"C*3 aaA?ytia made? 17 Yea �}No l.trense No L�s � <br /> vat elerrne Iex tesdt of wall? 13 Yn i]No <br /> Yr <br /> aroaa a 57 ar <br /> lo .tttft d aro DWR ISS ltady 3 04? <br />