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,CA� r0`� CHECKEI <br />' ORIGINAL WATER WELL DRELLERS REPORT o c`�'Not PiIx <br /> File Odglul,Duplicate and Triplicale with the (Swct,*na 7074 Tars,Toyt water aadw) N? 37296 <br /> REGIONAL. WATER POLLUTION <br /> STATE OF CALIFORNIA State Well No <br /> NTROL BOARD <br /> No 15, ... <br /> r•yyroyd.lr tr.mbrr) �� Ocher Well <br /> (I) OWNER: (11) WELL LOG: <br /> - - A <br /> Total d*rTh 44 <br /> ft Depth of oemplcted well_ y(J ft <br /> Address 9 �� 3 / S /� V �+ _ Formation Drrerebe by color,rba•rfer,afar of muserl•l,end strart*re , <br /> fft D Q e <br /> L O r toA G <br />' (2) LOCATION OF WELL: <br /> County.San Tv e9 v Owner a number if any-- <br />' R P D or Street No <br /> Z _-37 M u S <br /> 00 cr 3 <br /> (3) TYPE OF WORK (check): <br />' New%roll fK Deepening ❑ Rtconditioamj; ❑ Abandon ❑ <br /> 1/ebets4mme sl,describe wderld-d krocedirre in It-1 L <br /> (4) PROPOSED USE (check),. (S) EQUIPMENT: <br /> Domestic g Industrial ❑ Mumcipal ❑ Rotary A aon 2T <br />' Imgauon ❑ Test Well ❑ Other ❑ Cable U ❑ <br /> DU Well ❑ t <br /> (6) CASING INSTALLED: If grave]packedr l <br /> SINGLE,g t)OUBLE ED G■� <br /> J / Diameter from to �O� •..= D r <br /> From J h, =o ft 6 Dam � oT1 of Bur= it it <br /> Typs and atm ei shot or well ra = Stu of armed: <br /> Daeribo lose=— 1 I vinC <br /> (7) PERFORATIONS: <br /> TTpe of verfwt a:o-wod <br /> Size of Perforations to b <br /> From ft to it Put per row newt ft. « <br /> dq <br /> (8) CONSTRUCTION: -.- <br /> Was s eurfsee sanatary sal provided? X Ta ❑ Ne To what depth f, <br /> went any strata me"as"an pollatToa? ❑Tee ❑ No if Ts,non doper of strata <br />' Method cAf Sealmg c� a Zof > Werk rtartad Tia !y <br /> (9) A&TER LEVELS: WELL DRILLER'S STATEMENT - <br /> f Tbu well wet drilled atxdrr=y lurisdrelrox exd 1hu report ss trite to The best of <br /> L".6 at which sister was 5ret rssad / f= Myr�kX VW fed a mod belief J1 <br /> Int level bden perforittaa f= NAME 7Q w �/ C- <br /> C <br /> �L <br /> dial{lewd after perforating ft soasfirm or corperataon) ��or inward) <br /> Address <br /> (10) WELL TESTS: <br /> was a pump teat made? ❑To 0 No If ret,by whoval I' <br /> Yaddt gd/min with ft draw down after Lra lSici�b] <br /> r tell Drill?n �} <br /> 7awperatan of ware wu•eLettal awlTau arida? ❑ Yea Na Lteenac N:fa�21=C-J DBted�l �' .— s 191!Ll <br /> tae rlsesr,e I"made of well? 0 Ya V(Ne *uses a 54 sou oV1M 0 aro DW?R FORM No 246 MTV a tta, <br />