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ORIGINAL. STATE OF CALIFORNIA DO not fill In
<br /> File with DWR THE RESOURCES AGENCY
<br /> DEPARTMENT OF WATER RESOURCES No. 060006
<br /> ',f Intcnt N., 148144 WATER WELL DRILLERS REPORT
<br /> s Inn it Vo orDate St rte «ell Na
<br /> Othc r Nk ell No 7,S Qr-G
<br /> ( 1 ) OWNER ti r1e (12) WELL LOC
<br /> 22317 $Q. Corroi 0l iOW Ti>ttl cleptlft Depth of completed well ft
<br /> Addres, iron, ft fn rt Funnaturn (Descrbe b, color (herecter sire or M tenal)
<br /> c rt, Trac Ca T i f ,,p
<br /> (2) LOCA TION OF WELL (see 1>3�tiF,cttom} in
<br /> —
<br /> C ntntri San pa LIZ n saAdy clay
<br /> Inners tlo Vumfier -
<br /> 2.0 tan r
<br /> `tell ,ddre,+ if different front ib,,,, Patterson Pass Rd 20 - �
<br /> Ranke Sct,
<br /> II e -
<br /> 1 _
<br /> Dist,nce Front titres rulnm1% fences etc {,(J
<br /> 48 rock
<br /> . f -r
<br /> 7 - 59 ' sand and q ravel
<br /> 59 - 69 ' ra cT a
<br /> \ (3) TYPE OF WORK 69 �i 7n sand and ravel
<br /> New ��ell L7eepen,n� ❑ 7( � 5 grayclayand rock
<br /> d Reconstmchnn ❑ 85 - 'g , brown
<br /> Y-sgp Reconditioning ❑ '� 97 - 105 sand' and', rY aver
<br /> HonzontlI 14ell ❑ 105 - 119 qlrav OT`d
<br /> Lam- h Destruction J (Describe 119- 120sma i grave
<br /> destruction materials aAd
<br /> Procedures to Item 12) 1 - 130 gray clay and roc
<br /> (4) PROPOSED USE- 1 - -a stric o san an grave
<br /> �` x,! c 7 Domestic �, - _ rotten an g ray clay and roc
<br /> Irrigation ❑ i0/ - i`J/ Sandy stone an grave
<br /> Test r,al , ❑ _ ue c ay-�-
<br /> > o e=t Well ❑ _ san s one an roc
<br /> Stuck ❑ gray c ay an a
<br /> Municipal ❑ an 5 rj, S
<br /> WELL LOCATION SKETCH f Other - ❑ _ - (] roc
<br />,$) EQLIPNIENT (6) GRAVEL PACK 25] - 259 bine share
<br />';r,tary Rr,ene
<br /> C] 'Yes Nn d size
<br /> Air 4 259-, 285 brawn and tan clay
<br /> C,hle _
<br /> ❑ �I7,�uyeer�f gore --
<br /> - 285 - 293 blue aV
<br /> Other ❑ Bucket
<br /> ❑ Packed.Erurn��_to%_�9 _fY -
<br /> r i 7 CASING INSTALLED ' (S)�PERFORATIONS J 300- 3K
<br /> stricks of blue -ghale and snap
<br /> steel ❑ Pl-utic EX Concrete❑, T,pe of perfoiattpn or,&I of screen;^~' _ _ Stone dad tan C T a
<br /> Froin To,-- Dia 64' -. r pool To
<br /> ft ft, r In Lyall ft \�<s z _
<br /> SWELL
<br /> 9) WELL SEAL 4is n,rface sanitary sell prvided les Nn I If yes to depthALM str,ta sealed i�,arnst pollution" Yes Vn"} Intennl,Iethod of se-ihn lyCompleted_... Z ��lg10) WATEH LEVELSLERS ST-kTENIEiNT
<br />)epth of first water :f know Et
<br /> This uwn, drilled unelcr rue nnsdic rn and the ePurt t, tine. fu the bear of nrq
<br /> undine ]evil after well completion ft lnamleddg a and ] u/
<br /> 11) WELL TESTS
<br /> „ well test made Ye, ' ' Nn ❑ If yes h1 whmn� (NI ell r evr� r)
<br /> cpt of % Pump ❑ fl,iler ❑ -kir lift 1N AAIE Canada Pump Sales d Servi ce
<br />)cloth tow tier ,t stmt of test. /40 ft At end of tc,t ft P 0. il'enoll nn, ur corpr,rrition) (Typed orprinted)
<br /> tri tial/men rher hour, Nater ten,ptr-itnre Addresq OX C�.7V
<br /> an rlyslt m ule� lce, I,] No If Yes by whom' CineAnti och, Calif. n zi94509
<br /> rn
<br /> electric log edeO Yeti ❑ No If ,e, ittacl, cop, to this report License No342893 Dite of this report 7�p-:-
<br /> WRtee (REV mel IF ADDITIONAL SPACE IS NEEDED USE NEXT CONSECUTIVELY NUMBERED FORM
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