{
<br /> I
<br /> I
<br /> F
<br /> OUA,DRUPLICATE h111I rn'i tI II'r rl.\i\ 1. 1'w-
<br /> For Local Requirements 11'1':1,1, (:(}�IPI.I?'11O\ 1:I:I,It K1' �._ .__t—I_VOLt_�t__i
<br /> (•. ,r=1 :k'WI I.L n[)ISIM 11. NV
<br /> Page'IA Nrr� !'n n..,nnn r'+1 rr l._' _.,�--.- I-,i--._...�-_.___•'_"7 r-i
<br /> {)lrnrr'.11' Il ru. _ No. 582?97 L_� = E-_1_
<br /> -� -20- 11 S a+ir
<br /> �r,y •rRlil :1?:r•rH} f'�. n J0A! (Lin
<br /> Pel Illil \'n. -- .l'r•IHfrt Il,flrTony..'----."--------..�-..-'------- Y
<br /> l -
<br /> ORIENTATION I r) -_vcRuf',hl --,iolaznrn y1y _nHslr .__c.rr of rf \.r,,:r .,.--.._.,2 - .'��r--�., ;�M- � •-
<br /> tll'I'II: 'il�-ulsl tl tn'R I'I+rl lira `l D!'x I 1t.rllrrn[ Irl=I r:3C1ZOf1, 4Z-7s�-�-----__.�
<br /> Dern,rr1oA1
<br /> ' S:1Ilf Af;C � - {1I',y(:IIII'I S11 r\r
<br /> FI. FL �J sSISa' _ ' •! .I: if I73`iz4 t tJrJr ti1h7E 1C.^rp
<br /> 0124
<br /> 4 41V
<br /> .1.r til lrl' I
<br /> ,7(.;---•- .11'\ I;,=��l .__—.�_I'�rl;r• ---1''�...... --------�...---- — ySJII
<br /> -;�..-;�'T�_a_"."'_----.._._._.._----�_-_.__--�-.r.«�-.T_ �ri N,lr�!IIY'----�. {;IIiL�o_._.-�.---tir•r�liigr_------"."r-- � 1
<br /> ---t�
<br /> --------
<br /> -- rSa�-6-- ,V)pq ^r I.:flit eJr'----...1...._..-_f..--- we51
<br /> ir��i4r_,�-- I,rf, >.,�r, �a l.- I,Er; Mf+, SIE
<br /> --�:ll� s.l?.�=.-•ti1.� f(1(;1�1I11\ SAI:�i'1.1[- 1C'1�11'17l I'-)
<br /> r.�- NOHTN- ..---- --'_ %Nr"w wEL'
<br /> -----�W -..,-, Mf{�.r Ir.A H4�rrr Rf l`l lfl i
<br /> t
<br /> 7J 'CLay
<br /> 200 i20
<br /> - �✓ —� -„-.DF.^.1Nry r'fnew r,nr
<br /> .--�— i'rnrnaurxa•n,l M.rurel�
<br /> y r l
<br /> RfONH OHiNj
<br /> _—.--- -- uYAiEn SL1PntY
<br /> X
<br /> 1 15 t234 trrlC.IfOfr
<br /> t284r3017 r} L. , _-, Inrlv6frral I
<br /> i +.= 6305 ' 4 '— "TEST WELL"
<br /> 305 .3 1 2"7 „ CATHODIC HROTEC'
<br /> _._. -----� SOUTH�--__ - -TION ,
<br /> 11,,lr,rrr,'of 51'.'f1 fr=vn f.rurrlrrvrrls - _.DnrER SEP-00
<br /> 11)
<br /> rrrl:nr f.rxlrfr,llnilrlrrH', !',•rn,.,ri rrvr•,,'!r'
<br /> t f'l.lC,lti p: fila.:51 Y'f'll.V'f)f�• C(I,11 Pf,F.77i.
<br /> i .3 5 'M.V Rotary
<br /> OnII.L ING
<br /> ----
<br /> METHOD
<br /> 55'.5'i'li ll ].ki I*i h 'C14;LU TIT(:()Cfl 11 1-1.IT F.367 �37
<br /> i ' --- GEPTH OF STATIC
<br /> i_ 5 18V rnn ljm —_ WATER tEYEL_. —IPt-) A DATE MEASURED-
<br /> .' 380
<br /> Is YIELDS_— ---(GPM) A TEST TYPE �-
<br /> TOTAL 1)EPT11 USr Ilf)IMM; A (+p Y,! LEST LENtiTµ. __(Hr;.) TOTAL DRAW90WN_�{FLI
<br /> 'I'OTAi.DEPTll f)F f:USll'1.F:r1;1)1t'P:LI..�. lPf,•II ':41,ry,rr.1!'c'n•prr,rnl,+ri;r of r wr!1 r lnrr�-nwm.a<•1,!
<br /> I
<br /> CASING(S) DEPTH� [=t 1.
<br /> w DEPTH BORE, FROM SURFACE — TYPE
<br /> FROM SURFAC HOLE TYPE ! I""--
<br /> �. Ofl
<br /> - SLOT SIZE CE- f(ifl
<br /> DIA. W yo '• MA:ERIALr WALL 3F ANY MEN7 IDN:IT FVLL FILTER PACK
<br /> i Uncna.l :'i GRADEuWALL (iecn,•e? FI to F. ( YPSIZE)FF. fo FI. iS ;( l=S�({_',)
<br /> PVC-
<br /> , ( I
<br /> _ ` Al-TACRINIENTS f2L — CV14TIVICATto�N 5TA.I-EHL\7
<br /> ?' I,the Underrigned,C rlify Lhat ttus regorl is Complete and axn�ccurale Io the:Gent Of my knowledge and belief.
<br /> — 6eoMv;c Log
<br /> .'"iartin 'i�UiUp S Suppy, .
<br /> • YY♦1ll Gpn�Sl lfctlen Dl.Urerr. NAME-ii'INSUN, IINh1,OF 1,01`1'IIHA tIUN I Il 04 I:ON I'Mill Ur ,
<br /> j Cioopnrewellnp(U r3 I:L'ed Rosa, Oakdale, CA 95351
<br /> '`•_ .1 � SoiUwat.r Chamicel Anelyeea - � •EHY SIAfI C C!I1'
<br /> I 1111UNI:5 'firfr='f� 1(�-,�-1174 3{ -851 -
<br /> ' 1 5lOned -
<br /> ' {` ATTA f•H ADDITIONAL 1NFC1N.4fA rh7N rF it 1:.VlSTS will URlII'R/All UlrrNllln Nf 1'wF,'f N1Fa�l U/,IF Slr:rl(i: CSl i1Cr M.;f Hi1MPfR
<br /> A
<br /> r. " Io,T.IL1>,vina.-LAP IF ADDITMNAL SPACE 15 NEEUEU.'USE NEXT CONSECUTIVELY NUMBERED FORM ,
<br /> r - -------------------- ------- ------- .--.---------------- --_-
<br /> _- ----- -
<br /> S
<br /> 1
<br /> I
<br />
|