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' e3 <br /> _ •M1fe .STATC OF CAl.tPOlt NIA _ UO 11a1t flli;`n� �>K' <br /> with' THE RESOURCES AGENCY: <br /> DEPARTMENT C`F WATER.RE50UF2GE5 , <br /> WATER IIELL DRXLLIERS REPORT stt te}�v�n tin <br /> DO, Oiber Well <br /> _ 6 i,,i;',...:a 5• Brown (12)-WELL LOG:`,Totnl broth� ft'Depth f con ylet�d a II rt , y <br /> �NIl-poria <br /> - - <br /> r r <br /> : Y <br />' �'o�a >~,iX �3 � fmm ft. ti, - ft,'Formation (17eirrltrt 'color bnrneter s' `,-r;nr'materfnl) <br /> ® _ <br /> - - <br /> Q 5o <br /> t dRV. LStts! c }r <br /> C�,ncia\Fetl Itiumixr i <br /> nrzi 3a Grave <br /> irrn airy Vr.�- :oi J <br /> acy <br /> 3z 4z ji <br /> Sectio <br /> lds,railn.:,d+,ftn. N.-tc F <br /> .._ .. _ As 5 <br /> (3)..TYPE UF,.WQIC: F�. <br /> Ne-Well <br /> [?',Deepeni.itt ❑ ,ay. _ <br /> ray <br /> fiFx <br /> ,- AmmstntMmn'. Q <br /> 1. r <br /> 1 x <br /> Rer+uidItiOn rtg ❑ c " _ <br /> Ilnrlrcmtnl well: -. ❑. <br /> E.rtstmNiuu ❑ (I)errn:e - •' r ea .b,'' <br /> ' pr.xedum in Item Y`I <br /> (4) PP.OPOSED lt,,^ A. � <br /> llumtstir �� .:� 4- <br /> Imttatinn ❑ � <br /> lnduttrfal ❑ rZ <br /> FF <br /> `Well ❑ - ' - �� `>_- , �'�} <br /> amu: <br /> !, Stns <br /> k <br /> Mnnirip t <br /> LOCATIONSKETCH _\7 Other LL <br /> - <br /> .1.. 46) Grvv AC1C: - <br /> s$ae <br /> Reversr ❑.• Ya <br /> u <br /> Airof bore <br /> bucket -.° rta tp=• <br /> s n � <br /> sli <br /> i ';(_i Cnr�•c.,,\ <YPr of pa a ur a 1>f scree : <br /> { 37ia. Ga CFr F ft' I% ' r <br /> 1 ff°tt. <br /> vicn <br /> - n <br /> tl. <br /> .in.d -tlL� <br /> • a- �1f- a en , . <br /> - .l {�',Snsl p.lilntie,z? '�y��} e�' r -_fit -- <br /> k -yP L ts:,tx work taeted...�' .9 ....�Comntetr'd.` -1�'x .ti <br /> WELL URILLER'S STATEMENT <br /> V £St <br /> - .uer if know t nLI'ss1e1]utar:2hslrsYlr under my jarisdfatFun and thin rel, -t f tnM la the best o/taV '1 <br />� '' � _ft hnotctcdrte'O+d bel r. � c, wt <br /> 'SEST$ <br /> -i madeP Yet❑ :tin;❑" i[ Y'es 1>y 1romP $Kv {\Yell Priikr) F v: <br /> l pump C r❑ Air lift Cl 41 NAME ' ( � <br /> - ,t atnrt •,f te�i )�" tt ani3rw A�-ead of test _. �gTT�t ss►► t�p]�p�ya - <br /> s7G.sarVdR�115 <br /> _ � " .R'6f.ii�Vtnl4C.��li�or -luted} �'. _. <br /> { In1rS`� \Yalu ttttt]:.nature Addnsr u t� g/� A '• }F., <br /> Cb ry <br /> i ,„i:dr' .Yes ❑ . If yet by whom? _ '.GYUUL <br /> j 1a 14 If�ye..attach-mpy"tn this�n.pnrt Licemc kn ate of the i'eporl_ <br /> < •e:uSr7 <br /> 'YES{] 1 C�� <br /> IF ADDI7IONAL.SPACE IS NEEDED.,U E NEXT'CONSEGUTIVELY NUMBBRfD'FORM '' _ <br />