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Received Dec-29-99 09 48am from 227 7600 - AQUA SCIENCE page 9 <br /> CENTRAL DISTRICT ID 227—?600 DEC 29 ' 99 10 35 No <br /> 002 P 090 <br /> STATE OF CALIFORNIA Do Not Fill Is <br /> 01111101NA& THE RESOURCES AGENCY <br /> !Fite w"h DebIgFID� oDEPARTMENT OR WATER �r RESOURCES 1�? 14598 9 <br /> viatcr Loud s c COGS WATER WELL DRILLERS REPORT State WdI No j <br /> 1 Other Well No--76-34? W <br /> (1) OWNER' (1 1) WELLL�OQG: <br /> Name Mag Tat.t depth 'f(a It Depth of enm Lied.ell 100rl <br /> Address () <br /> Formation Unn+Gt by.rfor rheurlrr nee o)+w.+r r+.f rnJ+J.serve <br /> _4 it - ft <br /> (2) LOCATION OF WELL: 4zoi E RWI Ito <br /> Lou nee Qjn aoaq.11in Oona r number +(i.y 6-12 Sand <br /> Tornthi X.n a tnd Section <br /> D+ttatcr from tour+ res+de r.+irtadr etc <br /> Airpogt -W X. Xnrth AldA 25--4n R1 Ile clay <br /> (3) 'TYPE OF WORK (ebeek). o-45 131 Ile a nd <br /> New Well 2 Detpeatng ❑ Reeondtttonmg ❑ Destroying ❑ If-42 13]31p, 01gy <br /> 11 desrrtrrtfon drterlbr tuelrruf reed pracirdsirt in Ut-m r 1 <br /> (4) PROPOSED USE (check)• (f) EQUIPMENT 55-56 ClAy <br /> Domestic :C Industrial ❑ Municipal 0 Rotary IR <br /> Irrigation ❑ Test Well ❑ Other E) Cable ❑ 61 -80 r-3.ny <br /> Other <br /> (6) CASING INSTALLEDI <br /> STSKL`x OTHER If gravel packed RP-99 qarid <br /> IIIN G1.0 (E DOUBLE C) 99-11 Clay & shale <br /> Gage Diameter <br /> Froin f v or of From Po1 Ay <br /> ft tc Dcam Wall Bore it ft <br /> l+ze w.hoe r Well nn t Siu of■ttvd <br /> Drdrtbr I..nl <br /> (7) PERFORATIONS OR SCREEN- <br /> TYPO at ptrtaraw n tit name of screen <br /> Ptrf Rows <br /> Front To per per Size <br /> ft <br /> it row it +n x to <br /> 100 <br /> tl <br /> (B) CONSTRUCTIONr <br /> Ar as a vvtfacr t+ndtr reel rpv.dedi Yn �Je [� To rhrr depth rt <br /> Were u+ t+rrt+x.6d r —It Ilvttonf Ydjo No 0 ot,depth.(.trots <br /> 1-rom It to it .I <br /> From ft to ft Work it w, 126 Compfteed 19 <br /> Nrthwl of..elm WELL DRILLER'S STATEMENT <br /> (9) WA'T'ER LEVELS This well Iver drtllyd xrrdrr-my pi rudsetion end Ihls rrpvrt is rrMe 10 Lbr best <br /> of my Anondedle rnd behel <br /> Ut th rt trh+ch rotor -866rrs (eund tr kaoxn It <br /> %tandtn Ievd t„1,,.. rrpretta .r kn.rn rt NAME Henniags Hro Dri n <br /> usad+n irvrl tet r r(ornln rnd 4evsioInSit (Yerwn MIN at eatrr ios) ITYNd or►rlrlyd) <br /> (1 O) VTLL TESTS: Address 2 00 We Rumble Rd <br /> ve'r.Punp tort m.dri Y++ Ns Tr If n It Modesto, Qalir, 951,50 <br /> f Id eel ptgin ersth (e drerdorn tltec hrr ES-1- <br /> .ratvn of.ester Yes a e tett rnd d.metol Yn <br /> No Z <br /> Q ( rf DrN rr) <br /> Mer deeuir to rnodte(rdfi Ya Ns I(yet tetoeh ed License No 29081.3- -Dated I sr-'6 <br /> SKETCK LOCATION OF WELL ON REVERSE SIDE +� V CorJriP l l • LTi <br /> z <br /> DWR as t tev ►as, rr.�� <br /> 1670 ieM TRV y• OV <br />