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Ianal,Duplicate and Tnptitatewifh the <br /> 1� SHEF-r <br /> OF WAW REi,QUKES <br /> ,sox 1079 <br /> riAN1E1YTa ' CALIFORMlA <br /> ' <br /> WATER WELL DRILLERS RESORT <br /> Do Not F:II In 1 <br /> (SectionState Well No—- <br /> s 707b,707T,7078,W1tar Code) � <br /> Other Well Nor_�t �„ %' <br /> Region_ <br /> (7) Perforations <br /> TYpe of perforator used__ <br /> Perforated_;1t,, _ _ _rt — -� <br /> _ft ra_�_ ✓ ft Hale size _ fit No of holesJA <br /> r, <br /> (8) Water levels. (9) Well pumping test, <br /> Depth at which water Date of test__-- I3yhvhom <br /> first encountered_..__�__ -_ ft Depth to water when test started _ _— _.. _ _ft <br /> Depth to water G,P M at beginning of test <br /> before perforating— _ _ _ —_ _..ft Drawdown from standing level__�/ <br /> Depth to water G P M at completion of test <br /> after perforating__'Z0_____ u_ _ft Drawdown at completion of test_— � µ ft <br /> Note any change in water level while drilling «^ Length of tune tested- <br /> 4* __—----___- ——--------- <br /> Temperature of water—_ ____ w <br /> Was gas,present in water? C:1 Yes <br /> [f o <br /> (10) General <br /> Was well gravel packed?_____ _ __ Size of rock_— _ __ _ Thickness of pack____ <br /> Was a surface sanitary seal provided? <br /> Were any strata sealed against pollution? ❑ Yes ❑ No If yes, attach detailed description <br /> Strata <br /> Was analysis made of water? ❑ Yes ❑ No If yes, attach copy W - Y~ W r n £, %V0 ter ^vn r <br /> Was electric log,made of well ❑ Yes ❑ No If yes,attach copy t or, <br /> If well abandoned, was it plugged and sealed?_ _ <br /> Method of plugging and sealingT— <br /> a <br /> (11) Location- Kp,(I- <br /> Range.... �� (t2) Time of work <br /> •North Sc , ' Work started date � CompleteeddirTawnsDate of this reportf �'_ -_ <br /> ` <br /> Base&Meridl�n__y= J-) 1'PELL DRILLER'S STATEMENT <br /> �Show location o well i gc '-« <br /> L � �,����I This 2aell zvas dulled under my yptrrsdretron and this <br /> tion,Ilius (x r "�v resort is true to th best of my krioivledge and belref <br /> xbistances to sectio lines from <br /> well, N or [brcxEn] �-�'' <br /> and E or W ___ ft wrllDNflrr , / <br /> SA'aw location of nearest By_. 4�y <br /> known well, thus "� <br /> i� ( )O <br /> License 614 � &lassificaaon <br /> 1 MILE fl Pist'Ince to nearest known 1'+ <br /> 1 <br /> well__ _ft <br /> o w R FORM No 246 REGIONAI WAI'EIt POLLUTION CONTROL HOARD COPY xasrz a so roM QUO sr o <br />