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Home My WebLink About1620 e brundage _envirotech report 6.22.20_39-126v VeATIO� R LLERS'. REPOR T S Do* Not'Fill F1 I a OrIgi aLD' U 011calo'and Trip licatoAtION E (SoctlEow L70L 7C p �077, 70730 Witter Code)- -%fo 0 544 ILEGIONAL • WAIETC VOLLU TION STA"MOF'CALIFORNIA CONTROL BOARD No. (Injerl rj�prvprlate number) Other Well T-. rz L (A x } t3W E t.: Continued (11) WELL LOGO- r/ 0 0 --ft, Depth of cwnpleted wall 605 17-1►rn,110111 Pricrilit by color, rlmrarlrr, size of mairAal, and r1ructurr. x'78 ft. to 684 ft. Yellow, clay ARC 6 Coarse sand (2) LOCATION :OF WELL:. a.9.6 ,-00 Y e --clay Cutrirty Owner's ahmber. ,if stly- D. or Street No. (3) TYPE OF NVORK (check l: New —.well C] Deepcning ❑ Reconditioning ❑ Abandon ❑ if abandonment, dcjcribe inalcrial andproccehire in Item 11. (4) PROPOSED USE (check) : (5) EQUIPMENT: Domestic ❑ Industrial ❑ Municipad [-1 Rotary ❑ Irrigation ❑ TestNXIell E) Other ❑ Cable 0 Dug Well ❑ (6) CASING INSTALLED: If gravel packed SINGLE ❑ DOU13LE or Diameter from to From jt. to f t. Diem. %v2jI of Hure ft. ft. Type x-nd site of '11we or well ring Si.-C of grayfi: Deacribe joint (7) PFRIFORATIONS ♦ Ty;"- of perforator used Size of r.erforitions in.,Aencth. by in. From ft+ to ft. Perf. per row 1kt1w% tier ft. Tet--perature of water Was a cherstic•l snalyAs made? ❑ Ytt C3 No WiLs electric top. Inatle of well? 0 Yea 0 No of Work- started V11-U-L DRILI.ER'S STATE-MENT: Vjis well wits drilled under my jurisdiction and this rrPoi-.,1 is fritc Jc) The hest of rtfy kwivIedgr and Delis']. D,1,'T,,S1qcum Watler %*,Tell Drillili� tl',rwn, !tern, 0)t t. Stitt; or Pf)nlrd) Address 1.900 !,fiting Roaci z `; {'_ 1411E* 0,_1 li'ell b►Mer Uccn,-cNo..Q30?4 57 ........... I .......... Dated......__.,..... ....... 07021 0-07 500 QU%N tj Otto E)%VR 1$© (REV, 3-!34) A 6 (8) CONSTRUCTION: Ws, it surface j3hitiry seal provided? El Yet 0 No To what depth ft. Wcry any strata UAW against pollution? ❑ Yet ❑ No If eta. notc deptli of itriti From ft. to Method of Scaiing (9) WATER LEVELS: Dert-h at which water wai first found ft. StAZ,I&nF 1CVcj before rtriuriting ft. Srxrl-!Inx level After ptrforztinx (10) WELL TESTS-, Wait t ruirls test "Incle? ❑ 'Yet ❑ No If yet, by whom? Yia(d: K41./min. with ft• draw down after bra. Tet--perature of water Was a cherstic•l snalyAs made? ❑ Ytt C3 No WiLs electric top. Inatle of well? 0 Yea 0 No of Work- started V11-U-L DRILI.ER'S STATE-MENT: Vjis well wits drilled under my jurisdiction and this rrPoi-.,1 is fritc Jc) The hest of rtfy kwivIedgr and Delis']. D,1,'T,,S1qcum Watler %*,Tell Drillili� tl',rwn, !tern, 0)t t. Stitt; or Pf)nlrd) Address 1.900 !,fiting Roaci z `; {'_ 1411E* 0,_1 li'ell b►Mer Uccn,-cNo..Q30?4 57 ........... I .......... Dated......__.,..... ....... 07021 0-07 500 QU%N tj Otto E)%VR 1$© (REV, 3-!34)