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..p <br /> RW CATI <br /> Um O� erltff ITATt Of CA E;OHN1A v A <br /> l«0f� „ THE R690V RCE5 AGENCY AoDcUrn +'+ <br /> DEPARTMENT <br /> b"""of OF WATER RESOURCES NO. 22704 <br /> Gronl Yerni(Nn w Jnte 1 f%' <br /> l" " ' WATER WELL DRILLERS REPORT <br /> 81- <br /> SIaN N'etl.V.. <br /> (1) OWN)_,}t Oe.e Wall Noi.�� <br /> ...A it 7 n v (12) WELL LOC: do,, 2 428 Y2' <br /> rc„__,� Sf1 h j TnnJ h�t.Deplh I trlmvlelH..IL__�x �1? <br /> rnnn (e, hr It. FnmleRnn (Uoe ole by mhv, ehanle. .he lir m.fed p \`k•. <br /> 4 � city EA {T Inn*�A1if <br /> 2 ,ry `ra <br /> ( ) LOC:ATIIr OF" i'ELL (See nfdtmetlow : / *� <br /> C",..,—.aan OAnu <br /> gr'neY,15'ell Number 18 eiICiC B-i, <br /> m p l i it alneeem fmm eMw <br /> -- ilrOY'JTI. <br /> 1 <br /> I . .T <. r, <br /> hlp xAnee �'_` -- - '— ��• .:).) ':_11 Gf '.K M <br /> r n " ram eh,er.m.m.nom a.,r.nee., 7 ne_ 4? liewi tt gd, :✓Ar? A• <br /> .`t %r c. Its <br /> y <br /> (3) TYPE OF WORK, u'`1 ;O=... . ..ae• <br /> C. \, -.(I(� New,weiI IE De'tome❑ <br /> RernrNitll nine ❑ <br /> / N d Dotal <br /> well ❑ \4a�5 t Q. <br /> degennation m tt,d.bmotsF rf <br /> Drocvdvm In C- <br /> (4):PROPOSED.68' <br /> 1' ••� D ti,, <br /> Td X55 <br /> In <br /> slake` eq <br /> � y\\i` �,�� •k, 4;.�.s;`�Q- — � <br /> 5l'ELL LOCA11pN SEETCFI ` ql er , ❑ <br /> 'S:. LQ,�P\TENT: - fe) CAAV$I�gACI(r `.,\\ •;. _S1..V <br /> 1 <br /> not., G R tea ❑ r N \b>x sl:'_' A .? 3r•r r 7 <br /> Cehle ffIt Ai, ❑ D of boine <br /> �� 4�1 fi .y_, .: <br /> (R^^_ rl � ➢ Let -Q <br /> 11.1] �il 1 w \\1 � 9•. <br /> (]) LA ^G INSTALLYtI f (6).PERFORATiU1r5r\\ �` - qi/r 422 3 iel do 1^�. <br /> ' Stnn! Plvtia ❑ <br /> ci,nl.tt\q TiYa of �- <br /> .ti f m r 1'0� le Cr e~o� Frc2p�\ f To SIOR > <br /> ft fL�l� <br /> In. <br /> \4'ali ft a ft �Cslze' lIl <br /> (9) WELL SE iL - <br /> R.r rf 'tory ol vravidd? Yes ❑y No rJ If t +ep ( tt <br /> Wen f t IN t v II ti yo, No D"fol".1 — ' <br /> Afelh ( ❑ �P^i ant _ . Alarted__]1 Cmm�lnrM Y/ 1B 'l n <br /> b) WA1TR WELL DRILLER'S STATEMENT:'_ ' <br /> LSt <br /> near a( n wa!'-" if u k a _ re.' I Thr, urn ,Lw defu,d aad.;m' <br /> din,711,`1 h ll omvletlnn _x,47 fa kaawledAe and b „r(eJl'axej. V I envn,and thb'.enort.u uaa Id 'ho, Mn of <br /> `(11) WELL.TF,STS: • ;i', .—'—� l <br /> Slcveu_ <br /> 't4'n. I] lintm.ae? YbG No EX If ro,, t) h mY (well Ddller) -- <br /> Trpe of tel ramnb Baler❑ AI, hftr, (NAME 9 znnro WPI I yrs l inr. AnC _ <br /> .T?ioh 1 "n' nr t I low f4 At end of t,, —ft drenoq mal.n,eorpantion),(Typed o,nrlmed) <br /> :Jlyd c _p 1/ dtm n nC'; R t r tem,nmNe� Add ,_ - <br /> Cho I ami.bm.ly y .❑ ` ti ❑ If )w, hr whom? citT__U-{Rc°'nle -zllf. Z1 9 36 <br /> W.W. .i_ 11 d b — <br /> Mo tae m, N dYe: ❑ N C If es. ffech Lopy to thi, �eont U.No. nett of thb reW^ L <br /> own lea rnev.Doer: IF ADDITIONAL SPACE IS'NEEOED. USE NEXT CONSECUTIVELY NUMBERED FORM <br /> ,. I <br />