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� 4 t r <br /> ONIGMAL, WATER WELL DRILLERS REPORT Lt�C�tTlTa 0ggTi,�ECKVj <br /> Flle Original,Duplicate and iilpllcale Wh the (Sectlent 7076,7477,7076,Wktar case) N? 34134 <br /> REGIONAL WATT&POLLUTION State Well No....--_ <br /> STATE O� CALIFORNIACONT1iOL ,HOARD No- <br /> 07"Y'. <br /> v- <br /> E Other VVeif No.��—----���-�----�-- <br /> snf epprayrfrtr axaebrr) <br /> t ) O e (11) WELT. LOG: <br /> Nam 4'/ .;��7, TTo"I depth gb?,.._ it Dept It of completed vtll__ _ Et <br /> Address .y �sy � r1" Por,wattona I)ercrtbr by rotors rberecfn,she of atetrrfet,"d tlrarrxr► <br /> (2) LOC[,AXION OE,WELLs <br /> u �1 1rl_ <br /> -1,Z 7--7 F,7-- LO+rncr r amabtr,It tam <br /> A � A <br /> (3) TYPE OF WORK (check) <br /> New Wall [R-'� Dapeawg 0 Recoudtpuaung © Abandon ❑ <br /> lab!!dannteut,describe material and procedure irs Ilan 11 " <br /> (4) PROPOSED USE (check)s (5) EQUIPMENT <br /> Domestic (ErIndustrlal ❑ Municipal ❑ Rotary 011 . <br /> ! Irngatlon ❑ Test Well ❑ Other ❑ Cable ❑ <br /> Dug Well ❑ <br /> (6) CASING INSTALLED: If gravel packed <br /> SINGLE eVOUBL8 1:1 Gabe _ •• �• <br /> fr) Dlametcr frts to <br /> Flrom f: w --I—of Hare � �tr-r,> <br /> ftrJ >bl:m ►.Wa �_' <br /> 1 <br /> Type and um of shoe or well rias Silt of gravels <br /> �/*'J�-� .� .� <br /> Dererf&lalnt ,ler J fes, 1f .. <br /> (T) PBRFORATYNS � �er� t•, _ r r {fa, <br /> 'type ofperfeaais,mad <br /> $1zC of paeforariona e«`a y tJ rr I� Ie iebyIe <br /> From?),r ft Pert r row Rowaper fir <br /> (S) CONSTRUCTION•� �� ,. <br /> War s rnefxo ragltary teal proridtd? t:. U [3 NO TO whit depsL <br /> Were any mare araUd oWnst pollutloal [I.,0jA Q IVa Il yet,Date depth of nraea -�'— ..� <br /> I�roril ��fr m it -- ^ <br /> Method of Sealing tJ Complete a + A I9 <br /> (9) ,WATER LEVEM . WELL D u.LER'S STATEMENTs, <br /> Tbrs well waf drilled under my;urhdictim acrd tbh rrporf it true to the bast of <br /> Depth at.hitt water was first toaad tt, my bnpwledge and bflkf <br /> P—Anaandvt)<brei before ptrforatLsj ".l r s� �..•. '� 7 <br /> +` fc NAME IWPF'j 11�f� JY.�•t� ,.4:^��•._. ,1 � / �'t�� jc:7 ♦ �'� <br /> Adlaaw�.-dl Iard after prrterallaj is (P tgP,firmJ^�corporation) IF7Ped or FaMd) <br /> Address <br /> t (10) WELL. TESTS: lw✓� r � �F C?r �� �-�- � �� ''ll Imo, <br /> WSJ a pump test midi? Q yes 1, :3va Ter,la7 whom? � as" <br /> •...e++""r'7lt!/gain with •r�,y„w.,s ft draw do"e1nr,.r.re,tr�rehn f$aoNso] Dr!-Nft� <br /> Xsdde / <br /> I 7emperaturt of.seer �,•,�„�r.r mer s elhnplal aaslTu ode? 0 Yet U—90 j,rCoarG Nq/ �' ��'a"� <br /> Was electric fall made of well? (]Yer flu 91462]-ae eo"Cut"l^J AAO ,WFi'F M 140 24e (rtKV a 041 <br />