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ORIGINAL WATER WELL DRILLERS REPORT Do Not Fill In <br /> File With DWR (Suctions=7079,7080,1031,7082,Water Code) N° 43093 <br /> ,, THE RESOURCES AGENCY OF CALIFORNIA <br /> (+ ��� Ntatee Well No.1- A r„ <br /> Sec <br /> 01 <br /> Vatox Code . 1375t DEPARTMENT <br /> F^1,t1�(3Gt f�f� OF WATER RESOURCES Other Well No. <br /> (1) OWNER: (11) WELL LOG: <br /> Total depth . 1.70 fr. Depth of completed well 170 it. <br /> Formation: Describe by corer,ebaractry site of materlal,and structure <br /> _ 0------8 Top Soni- fr. <br /> (2) LOCATIQN OF WELL: g-- -11 lied brittle clay <br /> County San oa n Owner'a number,if any 11----24' i3ilty sandy clay <br /> ' <br /> Township,Range,and station T3W R Seotiog 31 24----24-tNr ,Smal1 stream brown sand <br /> Distance from cities,road,,railroad,,etr.A row 1 mi north of 24=' ---37 Med' brown c,la <br /> e' a b - '37----'40 Sticky light brown cla <br /> (3) TYPE OF WORK (check): Thorntol-1, Rdl 49----Iffi Sandv bPown clay <br /> New Well LIC Deepening ❑ Reconditioning ❑ Destroying ❑ 55----95-- Sand Strewn brown sand <br /> 1f destruction,describe material and procedure in lien;11. 55'"---64 Sandy brown clay a gravel <br /> (4) PROPOSED USE (check): (S) E IPMENT: 4---- Ut' c re clay <br /> Domestic ❑ Industrial [I Municipal ❑ Rotarpi ❑ 76---484 Brittle the brown. C la <br /> Irrigation] Test Well L] Other ❑ Cable ® ¢--' 4� 're 11 t bDr Sand <br /> other- <br /> A F] 8 4` ---9 'ed brown clay <br /> (6) CASING INSTALLED: 6---4and sticky grey clay <br /> STEEL: OTHER: If gravel packed 1l -- r,�r� Sandy <br /> �blrown clay.}. Ir���a7ter 1.2., <br /> SINGLE(� DOUBLE ❑ N0 .I-2xxl!3l�--- 30 Sand Qt e at Fs/ ---130 feet <br /> Gage Diatneter lvV---l42s Mediu brown clay <br /> From To er of From To :I424-- 45 Ha d blue a <br /> ft. ft. Diam. Wall Bore ft. ft. 4 --- 45=- `' -,-b d <br /> -21Q t_ blue clay <br /> 16 140 12 12 122 49 Silty blue clay <br /> t xu - 4 t brown-brittle s t clay <br /> Size of shoe or well ri t Z-iJ a o& yy++ andsandstone, <br /> Describe joint -Wlrt dad Y.� ,sIJ' /� of course braiin <br /> (7) PERFORATIONS OR SCREEN: " runs, Lots of <br /> Type of perforation or name of screen �..�' '�s ' * _sand, <br /> 'tt <br /> Perf, Rows -^ 'r` <br /> From To per per Size <br /> it. ft, row ft. in.xin. <br /> JS Rae, ;nry Open <br /> (8) CONSTRUCTION: <br /> Was a surface saainry seal provided? Yes OC No❑ To what depth ft. <br /> Were any strata sealed against pollution? Yes❑ No If yes,note depth of strata <br /> From ft.to ft. <br /> From ft.to ft. Work surto 19 17 1 ,Completx 19 <br /> Method of waling WELL DRILLER'S STATEMENT: <br /> (9) WATER LEVELS: This well was drilled under my jurisdiction and this report is true to the best <br /> of my knowledge and belief. <br /> Depth at which water was first found,if known ft. <br /> Standing level before perforating, ifkn0`un s ft. NAME V <br /> / (Person,firm,or corporation) (Typed or Qrsnlert <br /> Sunding level,a(car' r Ar t'' a d � tlo 'n l a' <br /> 00) WELL TESTS: Goehring Hdw &: Address <br /> W21 pomp test made? Yes No ❑.. If yes,by whom? <br /> r <br /> r gal./min.witb s -.s s fr.drawdown if... hrt. [SIGNS- _�y �,�:.'• ,. ✓_,�.� <br /> a'y et!Dr?ller) <br /> Temperature of water Vtras i e�teruical analpsis made? Yes ❑ No 1w / s� <br /> War electric log made of well? Yes ❑ No If yes,attach copy License No-24t_L9 t`�3 Da[ed �$�rf�h r..3 ' 19 <br /> SKETCH LOCATION OF WELL ON REVERSE SIDE COQ li9,ENI I I-AL LOG <br /> "rater Code Sac 13752 <br /> DWR ]$$ (REV.9.65) Ra ot-sO b-n NouimiP(6)A na <br />