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<br /> Do lotFDRILLERS REPORT
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<br /> so,Yogi,70g7t1.iftC-4).!i
<br /> N 1 47;
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<br /> THE RESOURCES,AGENCY 'OF CALIFOR lA' I
<br /> Stgtd aD'eii No
<br /> DEPARTMENT �F�I EATER RESOURCE
<br /> ' i Otlttr Wdi If
<br /> (1) OWNER:
<br /> Nah1e �M rt Deal devat fe.• De sh of e6m feted cell *'
<br /> Address '
<br /> I' ■sibat DrsN�,•y loii eba}aefsr,fire ej aulerfal,exd efet�et�er ',-.�i
<br /> 1.
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<br /> W.f.
<br /> •er•r�wnM !t
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<br /> 4 tam
<br /> (2) LOCAT16�i-OF ,Lt' h; a;r: . •, ...eft
<br /> Gundry, Ownrr't nnmhea if ant trf. rer�
<br /> reiraehlp,llm' ,end Stetlen er�
<br /> 134taoce from cities,rosde,railresdA est. t 'F, ' I, ��'•
<br /> (j) TYPE-45F ORK (c eck): �0 0 r f'An Qt, Rd,,
<br /> '•a:r
<br /> Ne*Well {� Deepening.!Q { j} eeajiditieninj ❑ Deetrnying ❑ roil
<br /> ". a<
<br /> I destruction,describe msterist and Procedure la Item 11.
<br /> {4) PROPER r USB (check)a .FS)' Q
<br /> Domestic;[J Industrial Ilicipal,0' i Rotary * `rx
<br /> Irtigat* � 'estF Lell {. ..Other © _Cable et.
<br /> a.�,
<br /> . .,e Other o
<br /> 1: 4,
<br /> K '1 18;ave1 packed ^
<br /> ilrtog.t .. ifousf ''4 �. ... ... . i!'rlt
<br /> 'RDs-
<br /> f'• ' +Gagl Distn�tet �..{. Y�. '. ` ir:
<br /> 1 q s fir s ofrom
<br /> Frd n To
<br /> 1 Iter �t. �am. aVall Bore ft ft.
<br /> !, j� ta. 1.;.
<br /> e aR�
<br /> i
<br /> LM
<br /> iia b .Siza.ef. h ��
<br /> 1�ltttN oln- t
<br /> ( }. P$ , .P '�WSAID 5GREE1�I�r,~....'�'Cr'.
<br /> , .
<br /> �Y
<br /> Per£
<br /> r}i14 fid f0 f 'Y { 4{des. }•} ,'f..« r. Size
<br /> 11F�•++ f ipw {t. in.x in.., am
<br /> yi. Y
<br /> t
<br /> r '
<br /> 30
<br /> Al
<br /> -c lvs imad lag,
<br /> - a to with -_- - Sf
<br /> ya ft. rrw
<br /> A torface ialtip tdil, rdiidedT Yt No To what deAN pth
<br /> '�'trt eb''k"rota etaltd lime llotlenr Yet[] No ]Eget,Here dtPth of rtrua
<br /> �eom ft,to ft.
<br /> V—k alerted 1! Com I
<br /> eei i�.~
<br /> WELL DRlt1.ER's'STATEm1N'1'r'
<br /> This well was drilied finder my jurisdiction seed tbft reporl fs trxe f Abe�j►at`
<br /> (9) *ATER LEVELS: of my knowledge exi belief.
<br /> Depth it which water wee tot found,if known
<br /> NAME
<br /> Itandie level before pufantina,'If'known ft. 4j r
<br /> ..'tPerao#, uta,or corporattaa
<br /> Standie levet tt
<br /> (10) WELL TEISTS: Address r
<br /> Gas pump test model Yh ❑ •No If tet,h whoml
<br /> SlcNbu .lt
<br /> Yield, ftal.rmin.with ft.drawdown after bro. •: V.D. y
<br /> t ,
<br /> Teed eratute of watts West a chemical analtsis made? Yee ❑
<br /> ?rat electric[as made of well Yes ❑ No if yet,■such cope LiCenie ,.
<br /> SKETCH LOCATION OF WELL ON REVESE 61D
<br /> R
<br /> ' • -r f6fll foo reel Gell rROs Cj1L4bne ,s,�'
<br /> DWR 188 fRcv. 0.651
<br />
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