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ra y�l" yfi•':`h^' t .,,,, -�Vr� r-,-. .w ,vrnrew,,.. 'a+r%1rri1�",�ewtetr�-'�jM ,,r��. , - 5,, <br /> ty�at,_r <br /> y'i <br /> • v,.e.T�, t�.u ,sr ~'•-"aa,,,.l.++ 'c7, a 0.Y O 1 e� , " d �.ti q' t'�~' � S �, <br /> FFF �Q�U�4A••.f) �' � , -j r7. . �^ - ," � S n x -��h 2$���� <br /> zn <br /> ` Use t0 P.OflI r 1 :; -tsTI,TL OF CALIPrORNi r �k t•Yf�sZ � <br /> local requfePellrrielljrtsJ��e <br /> RE <br /> SOUFtGES•AGENCYI ¢ x Ci ca C�v fl0j• '�fl' <br /> NQV 7 X978 � - �• t� <br /> _ a DEPARTMEh1T OF WATER,RESOURGES <br /> Not'fce°�IMrpotN ri{.1�r16Q •GFT s;, yvATE <br /> R WELL DRILLERS 84 L��1 <br /> �iQ.Y' .�1N S ei1 Yna t. <br /> HF.RI:TH'D'-- - �k <br /> R �Jy•n 'tit .z ,wy '.� r ..i k - 1, ! •"^. F J i F\f' t� - �l ,✓: f <br /> a <br /> ,�, "�-�/�v�y --tC,� -`y2�y s+,��-,#ri d - .: ., - -. w��- „_ 'i-1,.i- �F w.li: �=;a., a We71 Ne•N_a..r.rw��avm sews '` <br /> Pf• Vtn;v7.Sfi�r'alb! SOas �,tQ WELT. IDG.; Twa,},t 'I2�Qr1 <br /> -v?i A� *•^ :) fntna ft to• ft. Fnrmatfryr ( Aber " � 'af!A pieced- ! <br /> Ciq ��f. •r•� s byminr,'.eharacter,sise orae tk ..�' <br /> (2)TyLoeQ� I i.'(See tnstnlctians)• r F {1�1 e11-rddress Idt$�etrt(rorty abm .. Jim <br /> „a.- v > , <br /> �Tntrrulirp :v <br /> wr •' C -J i,r_z nc ' e <br /> Distance from cues roads,rnilrtuds Fences Nc C ifi <br /> (3) TYPE OF WORK: <br /> } f. .-h-..? �7P r( w�i •fi r.. New: %Veil A Dee .penm� <br /> X <br /> a t S I It onrtneati,sn <br /> ftd <br /> k 4 F limimnlalWelt �4 t �. ,Alit <br /> ', <br /> z ° 43 a ;{. Destnictinn Q Iksrri)tc - - 3 r•! <br /> 1 � <br /> nurtcnals <br /> f ;' ptocednres la <br /> Am <br /> in hem41 <br /> Ng <br /> f <br /> F' <br /> ' f (4) PROPOSED - <br /> r t Thrmtslic <br /> t <br /> A <br /> N t ! G <br /> '� t � r f .., 1rriKntinnt�� <br /> ' <br /> Indns,riAl\ 13 <br /> B <br /> \\ n -zn�'v P <br /> \t'1>LL LOCATIO\ SICF 7Ci! \ Other /�� r.� • s^• ��'S{ Y 7 <br /> � (3) F.QL'IY\[E\T (H) CRAVE ba PACA: <br /> ❑ N ❑ 4r(a \ tii>•.. \\ n.Y 1, <br /> -_CY Air ❑`. �..t-,.f1*rn• . t2.,,5; yf'"Y S fiS[�• <br /> (klur .(7 r [kuakrt �.,' _ �'a nmr \`t 1 T.�1..\\ at •' - ?#';' I <br /> '.�( 1'-CASs\C IVSTAl1 gn r•. 'fKo YERFtlIlA7IUVSc `+\ ;`-,� - - ^.[ „ ,�' .'�T <br /> Tylu.d lx• �nbpn r�lre ni;crr•ra, <br /> E rrJ,tl :.. Ttf.--� DiA: [`tli(:llr 1'rn ni., \✓S .rlt fil(lt' <br /> tt` _ <br /> � <br /> 4 It.k <br /> y(, <br /> -.. <br /> WaS r rfAtt '.ni,aq'aral Itidnl'f Yea L X:. fl .. I d.•pth.����lt. _ •y, _ itJ� <br /> trrr 'atmta unkrl q.anrat InJl..trm:• 1'n 1r. [x rintrr.�! _It, C- <br /> f Camerit� <br /> 8/ <br /> "tf drr.d.nf sral;u•• R'.,rk atarti+l� _][ C:rnnpkt.v! s' t'�. <br /> -(10) WATER LEVELS: .' . WELL DR1LL1iH'S STA 1'1:\IES'T; <br /> Depth of fine valrr, if kmr�rz_-__ 711J, ir-if re . billed rnJ 1- ury dirt nnd,rAn depart it i rr rn Ithr f+rat nJ'rliyy�'�'kl�tf '� "ytiri.lia¢lrat•1 aHrrw I] t mi lrti.:n,,.,_,.;"���_----- _-_ tt. RppnL JK•' unr! Jn•fu'I11! <br /> 1 r"' <br /> CI]1) �FliL1. TESTS <br /> [t Aa avII ee.e n:adr?. )•a.�7 N. 11 . !, Weir <br /> 3) I• is - . <br /> 'Tplry•..f tnl 1 i n p,>:; l:.il�.i] -.t i,—I,�t [:.; Panero Weld•']fix` .Y'lIng, Tne.. <br /> NAME_ - 4 <br /> E .lktuh In sa nlrr al aures of tral- "�N. :U ••nd ..I tr.t _t ._.- 14c}tn' <br /> h11-1 <br /> 1dr....ruaru[.�6•itrw*(1a..al �edl , :. r.. Z` <br /> S '1) harilr ••.+f�a,in'Aft,r___ ,:an R'sr.•r 11-1q,. Wfit", tvJ GG LLVV111S r GGCC SIYa,L[ <br /> • _ V�Riw •�11 r. <br /> Ciinnind annlq.i. m,.de:' Yrs 'I N.,i, if . hs' wL::: __ .. <br /> WI,rin�l rir�k.c madr 'Yrc j.] Xr: ]I .:n �U.tl.,. ::n 1.'� __.3331�4 ��� <br /> F DWR leS :AEv.r.>c- _ 1F ADDITIONAL SPACE IS NEEDED. USE NEXT CONSECUTIVELY NUMBERED FORM <br /> r _ <br /> F.' 4. <br /> F' <br />