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,} t l -._•— 1 UC��� i1i'w �d17'# L� �'I� �, <br /> ORIGINAL WATER WELL DRILLERS REPORT � Do Not FiU Io <br /> FIT►Origlilal,Duplicate and iriplieals Ali the (Seetims yoga,-711Y7,ygs,'Water Cad1�1e} ? 96630 <br /> r REGIONAL VATxR roLLUTIOIV' aaw� stat..well Ala— <br /> STATE OF CALIFORNIA = <br /> CONTROL :B No,. Other wen w". -3/V 7 1 _ <br /> !ajtlJropr4le arlm brr} <br /> OW�I�TER: (11) WELL LOG: <br /> Name t �/ Taeal deprh it Depth of wrobead veli fft <br /> Address pormatwnc Dsrhl be by rarer,tbareerer,r(ar d of demrltvr <br /> f:.to it 1� <br /> r 9 <br /> (2) LQC�'i ION QP WELL: <br /> - owaet'sntrngh+e,:;Gey— C/ <br /> R P D or Street Hb <br /> S <br /> ' C <br /> r <br /> (3) TYPE OF WORK (Cheek.): <br /> Newwell'�I Deepening 0 atcandlaoretna © Abaaden 0 <br /> 11 abamdonmeett,dttertbe vurtoridl and proredure in 110A 11 <br /> (4) PROPOSED USE (checA): (5) EQUIPMENT: <br /> Domestic r;�Z Industnal ❑ Murucipal ❑ Rotary <br /> Cae <br /> Irngation Q Test Well E] Other ❑ Dug1Well <br /> D <br /> (6) CASING INSTALLED; If gavel packed — - —�• <br /> SINGLX M DOUBLE <br /> I}u,oeeer fraa ro _ <br /> Frpn7[]ft eo (� ft D'em i Wall +f Aan It - <br /> Type Gad rte of shoe or vell ting x Sue of gra►slt <br /> Aercribr Joiat <br /> (7) PERFORATIONS: <br /> Type of perfessur erred i <br /> sin of pdtfomlons ter La th <br /> IFrmn k m ft Pet( per row Nowt per ft <br /> 1 <br /> (8) CONSTRUCTION: <br /> Was it m„rteee saatury teal provided) 0 Yea ❑No To vhsr depth f /C) <br /> Were toy strata Fats ssdon poilotioal Oyu O No Af ysy acts depth a(strata �s <br /> �rOtll fc W ft •• •� <br /> Method of Seating C j a .--. Work scatted2M . !9 Coapicua �'— t96 <br /> (s) WATER LEVELS: WELL DRILLER'S'STATEMENT <br /> Thr will twi drdled under vey frtrfrd(emn and tk re rt is true 10 the belt of <br /> Depth at which trsttr w"fent frond �3 fe my Anowledg I <br /> R � �f i <br /> d,ag Ierel hsfore perforating it NAME' & I`y try <br /> lent Aker perforating it r t e taut eT7Ar or rtnttdJ <br /> • Address STOCKTON Z, CAI_IF'ORNIA <br /> (1 a) WELL TESTS: <br /> Kat a pump tat made? ❑Yss C1w :f yes,by whom? s <br /> Tandy ... gal,/pIn�wit1 it draw dawn miter tin <br /> _ _ _ _ T rfikr/ / Jf_ <br /> Tempermtore a(w*ur - - Yrs;a ahemwl aeslytst made? C3 Yea no <br /> wax shame IeR ride e(vdl2 [t Yu X No /// <br /> areas a to sou ptyN D Gra DWR 189 (DKV 9.64) <br />