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0 <br />ATTACHMENT 2 0 <br />WATER WELL DRILLERS REPORT <br />(Sections 7079, 7090, 7091, 7082, Water Cede) <br />THE RESOURCES AGENCY OF CALIFORNIA <br />DEPARTMENT 9E� WATER RESOURCES <br />Do Not Fill In <br />N? . '47750 <br />State wen No <br />Other Well No <br />- <br />(1 ) 0 (11). <br />s • :,. <br />ag p t <br />Sanitary taard Fill <br />WELL LOG: <br />_ p.� <br />Total depth - ft. Depth of completed Weil � • _.'t:isG ft. <br />Address P ® T-oX 12g <br />Formations Describe <br />0 <br />by color, <br />h <br />character, rise of material, and structure <br />to %Si 90*1e rt. <br />stmIctons <br />(2 eOCATION OF WELL: _� ,;;':::.:,•.: <br />County QjT Q@Cizi -- Owner's number, if any <br />Township. Range. and Section <br />6 <br />a <br />CLh+ble met <br />8 13 <br />3 L. <br />y <br />br QI.a�1}v,1, <br />t <br />Distance from cities, roads. railroads. mee. l F�1 S'39� % £1a132� rT. <br />l,.r° <br />ASO- <br />a " rld. <br />F t ®? Satzt Y: rel t taC± rc3 <br />(:C� <br />1.10 <br />br el SZ <br />(3) TYPE OF WORK (check) : <br />New Well E Deepening ❑ Reconditioning Cl Destroying ❑ <br />If destruction. describe material and procedure in Item 11. <br />11 ? <br />i <br />t'1 <br />1 '0 170 <br />'cr cl <br />170 1.`�' '' <br />"rik ry C:'Ris s8r.a <br />(4) PROPOSED USE (check) : <br />Domestic ❑ Industrial [I Municipal ❑ <br />Irrigation ❑ Test Well ❑ Other ® <br />(S) EQUIPMENT: <br />Rotary F-1 <br />Cable ® <br />Other ❑ <br />1co <br />G.:G <br />!-r 01 cr &i <br />u <br />nn r <br />-eP r. �-F <br />" <br />dk— `iard <br />2'26 262 <br />b r el �- S <br />':.? ^F;7 <br />Cil* rcak <br />(6) CASING INSTALLED: <br />STEEL: OTHER: <br />SINGLE DOUBLE [3c.72 <br />Gage <br />To or <br />it. I Di... Wall <br />If gravel packed <br />Diameter <br />of FromTo <br />Bore ft <br />'xf:? <br />% : <br />ht c3 c -t reek <br />;-.� G7f <br />Cc: -r* cer,2 4.1ard & N--vll <br />741'^ <br />j"j' 0 <br />?t�>3 �?2 <br />- <br />htsY'tl 1-r 3.`T <br />7-2 .7 ?,C- <br />a <br />^c=• yY«G <br />.�2. fatC1-' �' <br />?mtn i;6' <br />O 312 <br />ry <br />42 <br />Gd. <br />441.0 <br />s <br />:� ktik"o <br />iJ{ �ro !n <br />.; 1a.gsa 1Dck <br />LLG <br />wht, rock <br />Site of shoe or Weil ring. J�c) x6 <br />Sire of 11.1:• <br />Describe joint .?eld <br />(7) PERFORATIONS OR SCREEN: <br />Type of perforation or name of screen <br />From <br />it. <br />To <br />it. <br />Perf. <br />per <br />row <br />Rows <br />per <br />ft. <br />Size <br />in. x in. <br />.(S) CONSTRUCTION: <br />Wu a surface sanitary sol provided? Yea ❑ No To What depth it. <br />Were any strata sealed atainse oo(lution? Yes ❑ No If yes, note depth of strata <br />From ft. to ft. <br />From ft. to it. <br />� <br />'Work stared h! 7 ') r ;i19 . Completed <br />Method of sealing <br />WELL DRILLER'$ STATEMENT: <br />This well was drilled under my jurisdiction and Ibis report is true to the best <br />of my knowledge and belief. <br />NAME r' urrVs.t`rce L)-ftl l crs <br />(Person, firm, or corporation) (Typed or printed) <br />Address P Ci r Cx 164_ <br />(9) WATER LEVELS: <br />Depth at Which Water Was first found. if known ft. 2-2-2 <br />Standing level before perforating, if known ft. 4-21 <br />Standing level sEter perforating and developing it. <br />(10) WELL TESTS: .y_ �. <br />Wsa Pump use made? Yee Q No ❑ If yes. by whom?,' U1771!�r. Li i.'r- 7 ! <br />0 1"s <br />TA nden <br />.. ._. <br />Cn" _ :? c4 f, 2.30 <br />- ...... .... <br />Yield: caldmin. With ft. drawdown after hes. <br />(SIGNED] <br />_ <br />Temperature of .rater Vat a chemical analysis madi? Yes ❑ No ❑ .q � - .• � L17' <br />Was electric log made of Well? Yes ❑ No ❑ If yea, attach copy License No ���•� ? natty sc• >',,�e ZC� _ 1.9 <br />SKETCH LOCATION OF WELL ON REVERSE SIDE <br />OWR 188 (REV. 9.63) <br />ses81•aso to -es soM TNIp © A osp <br />