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Received Dec-29-99 09 48am from 227 7600 - AOUA SCIENCE page 3 <br /> CENTRAL DISTRICT ID 227--7600 DEC 29 ' 99 10 28 No 002 P 03 <br /> ORIGINAL STATEor CALIFORNIADo not M:in <br /> TIME RESOURCES AGENCY <br /> Fila With DWR DEPARTMENT OF WATER RESOURCES No. 24819 <br /> `voce of Intent Nn WATER WELL DRILLERS REPORT State Well Nn <br /> laM,)Perni t No or Date V--P6 W Other Well No <br /> !(11 OWNER: Nam (12) WELL LOC <br /> Intal dyrth,L7-2_ft Depth er{rnntpletsd welf.12.9_ft <br /> Addresv front it to ft Fomsntran (Describe by color, character, $I%* or material) <br /> ('W <br /> (2) LQCAt1TDN OF WELL (se( t,tstt acttotiy) <br /> 2 13 Sand <br /> un)ntY aa_A_ �Q,� ,,._,_ Owners Well Numhtr - glarg <br /> W.11 nddrrni it[11tf«rent Fromm nb+nr <br /> T wnship Itange Scotian 1+7 Ob5)LE4 <br /> Dlotnnce cities, meds, rniln)ads fences ate a 120 <br /> M 0 west of btookton-sou, side 68 - <br /> 32 <br /> a <br /> (3) TYPE OF WORKi 67 90 Sand <br /> Now Wel1X Detpenlnr< ❑ 9 0 Clay & 3hale <br /> Racmutruction ❑ _ <<.8andX <br /> Reconditioning a 4W - <br /> Hnrizontal Well aan & shale <br /> Destructian Q (Describe an <br /> deftruclionmnleriall <br /> prot-edures !n Item - 44 {J <br /> (`1) FROFOSED - sand <br /> Dorneshc <br /> lrrlstncinn�� - <br /> Industriat� � p \v <br /> T'"t Well%) ❑ i - - <br /> sh� - <br /> 1 tAurSu - <br /> WELL LOCATION SKETCH Other <br /> ;S) EQVIPhtENTt ;B) GRA PACK <br /> Rotary ] Reverse C No Slz �`� V--� <br /> Cahle ❑ Air ❑ ter of bo» - <br /> n� <br /> Other [] bucket (:1 9 ' J.G� �fp � �� `I <br /> (7) CASING INSTAALLED ($ ERFQR Se our, [�, - <br /> Steel (3 Ptast[c'p C ) t Type of pe n o xe of scree ` <br /> From T Dia r F To <br /> ft f in Wali ft s1 <br /> 0 1 1 - <br /> (9) WELL SEALt <br /> Wer Surface sanitary sial p-vtded? Ies 13: No Q if yes to depth ft - <br /> Were strata stated against pollution? Yes 4 No ❑ Interval it - <br /> Mrthe)d ,)f sealin µark started � 19 Cum Ietecl_ -- ]9 <br /> (10) WATER LEVELS, WELL DRILLER'S STATEMENT <br /> Depth of first water, if knows+ __.,. F Thfs well was drfffed under mor furfsdirtion and this rePmrf Is, emu to the bent n/ mor <br /> Stnnding tenet atter well corm letin ft krait fedSw and betk/ <br /> (11) WELL TESTSI SIGNED <br /> Wns well test mad ';Well Driller) <br /> et Yee C) No � B ver, by whom? tiAME Drilling Co. g <br /> Type of tat Ptrmn ❑ Bailer ❑ Air lift ❑ r � nning�-_�I'QS . Tn a _ <br /> Depth to eater at start of tae ft At end of test_ R a�B u{,curpa atiunl (TYPE or pSLated) <br /> Adtltesr525 �.c"nal� 'jV;. <br /> [HscharRe��Rpt/Syn after hpura Water temperalum -' --- <br /> CherrAcal anal)si1 made? Ya C] No 2F If yet by whom? Crty <br /> odesto CA ip <br /> ( 'ectrle. ke4 onxdup Sea Ao if yes,atiu.h co to this r* rt Lioenso No Date-of this re ) +' <br /> 4 <br /> Dvtet 18$ tRav ie) fle ADDITIONAL. �A,CE IS NEKOKO USE !NEXT CONSECUTIVELY NUMBERED FORM .1014 feel Te IOM geAD(lir 06► <br /> A <br /> L <br /> J <br />