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' S --- ?Ceti TIQN NOT CHECKZ <br /> ORIGINAL_ WATER WELL DRILLERS REPORT Do Not Ft11 In <br /> Fleoriginal Duplicate and Tirlphealewiththe (5eeewsss7076 7077 7o-s D7ar.rCode) No 75293 <br /> REGIONAL WA'T'ER POLLUTION Sc to Well No2,�'1 -- Sea <br /> 2MTROL 5 Alta No�_ STATE OF CALIFORNIA <br /> Other Well No._ <br /> rwtrrt.pprop""' rr,rnbtr) —— — <br /> ' (1) OWNER (11) WELL LOG <br /> Varve <br /> �1 <br /> Tnr,i drnrh .172•• �� _ _r Depth of completed cell a7g__ <br /> ' 0. <br /> ALddrrlS Mant c Cr ill i fo mea__ e�rmaccon Urrr•rb.by h-1,, r—or+r.rr•r.l arrt rtrsr[lrre_ ft to ft Top Sgil <br /> 6 16 Set Sand <br /> (2) LOCATION OF WELL 18 20 IaAd <br /> -San T o qq jj1 n Jwn.r m6tr sf 20 <br /> 24 Blue Clay52 , <br /> 3 z D nr�rre.t 14. Und <br /> We corner of N. W. -1, 2 7 1 <br /> ' — -- of N. E o 4 -' 57 65 N<� Sand & Gravel <br /> R._7 E. 05 75 5oft Clay <br /> 75 QQ Hard Clay „_.. <br /> ' (3) TYPE OF WORK (check): loo 1Q5 _ Sand <br /> m 105 112 <br /> Now well Ex Deepening Ej Recondrtnong C 4bandon QClay <br /> if ahandonment dctrribe material and procedure in Item 11 F112 115 - Set and <br /> ' (4) PROPOSED USE (check) (5) EQUIPMENT F <br /> Domestic ❑ Industrial Municipal 7 <br /> � Rotar% 124 134 <br /> Irngarfon ❑ Test Wel] — Ocher u Cable � __ 134 1 .90 Sand <br /> Dug Well ❑ <br /> ' 15Q 16a-14Gravel- <br /> (6) CASING INSTALLED If gravel packed 189 P40 - Glaz4 <br /> SIh3G6E:K: DOUBLE a GallDrametrr f ons to 249 251 Cla <br /> From °r <br /> ft m fe Aram Wal[ of Bore Fc it <br /> 251 _ 285 Set 5anci <br /> W 4 166 Is 120 Z06 __2Q_ 285 294 „Qlay <br /> �. _220 . 320 Sand <br /> 160 360 14 1P * .3 20 372 <br /> 372 Sanl <br /> r pr and rr to of,hoe or wee gas 3/4x6xr?0 tl yr=e of R ayel <br /> ' oe.=eche,or°' uVfa lded <br /> (7) PERFORATIONS <br /> Type of perforator used Ma n Mne _ <br /> size of oerfaratr°vs 1/8 __ n lenrth 6y 1 cn <br /> From fr rn (r Perf per row Rows per R <br /> 108 �r;n <br /> Y_ <br /> ' (8) CONSTRUCTION <br /> Was a surface saattary cell pmvtded? ❑ Yet U No To whit depth it <br /> Were any strata sealed a`atctt pollvnou? ❑ Yrs El No If yes note depth of strata <br /> ' From it to it .� ;' ' <br /> Method of Sealtng work started „ <br /> Camp[a.d � 1 <br /> •a3 <br /> R (9) WATER LEVELS: WELL DRILLERS STATEMENT <br /> This well wot drilled under my jurisdiction and this report is true to the be o <br /> ,lilllllfiepch at whmh water was first found 30 it my kAowledgeand belief <br /> Wasnit level before pafnrannt fe NAME <br /> dmt level after paefonung it iNrson acro w wrpusc suns r 1 r1r! <br /> of prw7edl <br /> Address 2537 v <br /> (10) WELL TESTS- Modes J fornia <br /> Val t pump test mad.? AYes [INo I(yes by whomT7? V s <br /> �jJr c <br /> [SIGNED] _ - - -- <br /> Yields 600 tial frac° with 60 fe dray down a(nr AAhrs w,u jWrm#r <br /> Tomperantrt of water vias a ohecnaoll analysis made? ❑ Yee l-} No License No _ -2111-18 IDated- <br /> was rlretnt Iot rnade of,v5W ❑ Ym_- <br />