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<br /> STAT[OF CALtromaitw -_. _ ". Do Not FJula •.- -,,,,
<br /> .
<br /> THE RESOURCES AGENCY - = y�5
<br /> _ N° 115361 Y"
<br /> a' a`F -� `plMrrMi 09M! DEPARTMENT OF WATER RESOURCES
<br /> a' WATER WELL DRILLERS REPORT sr:[r oq1;x„ +
<br /> `a Other oell No`T4Mr
<br /> - �`�I) O'�NER (1 1) WFI.I• LOG: t
<br /> } r -
<br /> n 'i Name J ." ,•... ... —. .... " �. _ � �r i-q'�
<br /> kkr' Tmal droth 'fr. eek of tangy ud�.re1[ rt .{�'.''".
<br /> cif�~•At�7�' �".: r q. -' Femrstions 7krn]br i�rales,e6rrererr,r]v vl�rrriar,r.I sfrufrre .� �� ,y'
<br /> ' 1nol
<br /> i�y r(2} 7 OCATION OF WELL
<br /> 'J^�34�Crr r7 V ,•~ - Owen s earnker.el re - . 1l, r 4 -[ ,,, �� ,
<br /> g'rT`3�,rT Ru ud freLae C' i n n r r(�F-1 -
<br /> a >r gitrraai lre�treses rardr:tri[resdr.art: 1 r �.
<br /> F7�'
<br /> k' -i-r'PT 3 TYPE OF'WORB.;(efieek)• "•• - _ 1 l:C] +•ds
<br /> h• e
<br /> New Veli; , ntepenua p.',,` Aecooditwniog ❑ Drt[raynsg (]: 116 r F a}3•
<br /> �F3 'I leiirs rffo]r,rneribrMrelrlal.ar mare la llem 11. 120 r 1 2] t• }, s..,.�
<br /> (;]=PROP06gD;;USE;(rberkJ: (S) EQUIPMENT- 1? egr_
<br /> fir,+ M1 Demt.^rtk r"Q Indtistr;aI Munni I 'Rm 1 2 1&1F
<br /> Pa ry Cj
<br /> Imgatlon'� Tert
<br /> 'well� Other[3 .Cable 1611 1 6 Y a' }, t115 k
<br /> .;.,
<br /> t Rr d,`.crr s� Other" 1 6 " «, u c ^K:
<br /> �� '4` : Band &
<br /> 5i,[ "'(6) CASING INSTALLED
<br /> if giaveI packed 1' `
<br /> r y{trhb
<br /> '4Y"' IINaLR Q� DOWL[ .. '� .. - '.it-•'"•Y' iE
<br /> rsSr`ri .,u t"fF. - 16
<br /> Gage Diameter >z
<br /> S§` YFeom Io ri� a a! From To 1 w +-.. .r: •.n..i eak` '_ '
<br /> f•
<br /> :23P r244;,-. �� . ..
<br /> 244 r -, .« #
<br /> �'Sor rr are w r:ll d. -'S ae e!rr.rd� 2 r .
<br /> h k �{
<br /> 356 6.. 17 ti I
<br /> r}YV,�i,_(I)_'PERFORATIONS'OR SCREEM �F, -'400 T�gCke�d. s�y8'_• ,•y, a6i }
<br /> w 4k )A60 f a >aa
<br /> 46<� 4&1 ..: ricked: narel t
<br /> Rows
<br /> iy .y ya": F►om' To'.s ,yet -pet _.. Site 4 4. $7
<br /> 4P0 dr t n
<br /> ro+r, f[` in.x;n. 0 .• 492`_ ,black. .esl
<br /> >: A prover well seal -.wt� •��
<br /> well and Z.. em nQ t 0
<br /> R�r .� , . �' `ti 1<1R
<br /> $lterinrx or remnvi
<br /> 'CONSTRUCTION:
<br /> .lj fiswir a srrfa�a wkeii ied swea]Lr7:Yea Q 1:1o'CI {Y.. Ta akar drnr6
<br /> s
<br /> r riw.. strap+rrlad �nn tnlrn7 Yn Ne tf�a.earn depr3'ef rerua " - ,-s„,i:
<br /> �k,��r Fri:�t�"•' :•"'. fe mv. Y 1 - a.t,4,� K
<br /> i "-�iiwr;•': -.-rr.:r.:: .�: fe. Rork leaned of 4 :Ir
<br /> V£LL DAILLEA'S STATEMENT:.
<br /> pAT£R LBVELSrs "'•�{' } This wrll wet driller Mader my 7rnidrrliow end fklr rryorf it lrrr M lbr'leefw
<br /> at Miieh'Mour�:r•irrr fsd.'](kra a of my Afflom4rdji and
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<br /> .�� le. .fiW[r In�l•i.rne...- aides -i!kaewa NAM£'a Ohn P:�.1rle lr0
<br /> xr '`
<br /> �f:ieulk Mil ifrr... e..il •ell w fr, f _-. -: -. .IM ken,er nryrkruw7 IT7frd ar plot 7 4 �, -'�•°'�
<br /> ' 11935 3 V n A11en '
<br /> 6E 'f .,(10) VTLI. aWa�i r -x _ ,Addrcs[
<br /> F.r1cA�on if p
<br /> .lwie. [r.Inwdorn rfrrr - kir. SIGN. „4 k j• - t
<br /> 17.
<br /> T ntorr+a!
<br /> Z.,��{ wu ekerrk Mdr of r 1[I Y- Na - ', Ir♦rr,uyrk n r - L-1-se No
<br /> ' M SKETCH LOCATION!OR WELL.ON TEVEitSE SID>=
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<br /> aWR10@(REVMoal - - n[lwseoa.naerrMll�rOM
<br /> �: t ,r'4 Lf ���.�;r�'E�i'n.iY[*�+"l�a-.. { ' - � � -_ t] tit �-' t x - a Efn'_T��] /J►"^{.,, .
<br /> �'"�t J+rvf h� � r p s1Sr >> l'r Jy� �Ad +s�F'"�►:r s ! - r r 'yY� 1 ;/
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