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fila OrIQ1Wl,Du tttatcand Triplicate with the SHEET 2 <br /> DIVISIgh OF WATER RESOURCES <br /> P o daA 10)v ✓/3-r <br /> BAC:RAMLMYO S CALIFORNIA ` <br /> r f <br /> , <br /> WATER WELL DRILLERS REPORT Do Not Fill In <br /> State Well No__ - <br /> (Secnon�7076,7077,7078,VCaeer Code) <br /> Other Well No <br /> Region <br /> (7) Perforations <br /> Type of perforator used - <br /> Perforated -_ft to___ __ -ft Hole size No of holes <br /> - - - -------- -- -- -- <br /> - - - - - -- -- -- - <br /> - - - -- - ------------ -- - ---- ---- <br /> - -------- - - - - ----- - - <br /> -- - - - - - - -- -- -- - - <br /> (8} Water levels. (9) Well pumping test <br /> Depth at which water Date of test__ ______ By whom <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 ft <br /> Depth to water G P M at completion of test <br /> after perforating ft Drawdown at completion of test _ ft <br /> Note any change in water level while drilling Length of time tested _ <br /> -- - ----- - - - <br /> Temperature of water <br /> Was gas present in water) ❑ Yes ❑ No <br /> (10) General <br /> Was well graNel packed) Size of rock Thickness of pack <br /> Was a surface sanitary seal provided) - -Were any strata sealed against pollution) ❑ Yes ❑ No If yes, attach detailed description <br /> Strata sealed <br /> Was analysis made of water) ❑ Yes ❑ No If yes, attach copy <br /> Was electric log made of well) ❑ Yes ❑ No If yes, attach copy �OR OFFICIAL USE ONLY <br /> If well abandoned, was it plugged and sealed) <br /> Method of plugging and sealing _ ___ ------- - ------ <br /> (11) Location (I 2) Time of work <br /> Nortb Section No Work started date 8-14-50 Completed date $-14--51- <br /> iTownship 71 Date_ _-',� � _ _ Date of this report_ 3-28-51 _ <br /> Range = -' <br /> Base&Meridiani WELL DRILLER'S STATEMENT <br /> Show location of well in Sec- This well was drilled under my jurisdiction and this <br /> tion,thus (X) report is trur to the Gest of m) knou.ledge:'and belief <br /> I Distances to section hoes from Stock r--Arutature & Motor' iF,Qrks <br /> well, N or S ft [SIGNED] , <br /> and E or W ft <br /> / <br /> I Show location of nearest By <br /> known well, thus (0) License No {�rfg50 C�cation —�J'r <br /> I MILE Distance to nearest known <br /> well ft Dated 19-4yf <br /> O W R FORM NO 246 REGIONAL WATER POLLUTION CONTROL BOARD COPY »+ox>ea 40M Q0N"p <br /> 4 <br />