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t�rl 1DRUP'LICATE
<br /> U� . co"piy with. STATE OF CALIFORNIA
<br /> M-- f 10cal roquirements THE RESOURCES AGENCY �p
<br /> DEPARTMENT OF WATER RESOURCES No. 24618' '
<br /> of Intent,.n. _ 1VATER WELL DRILLERS REPORTS1wM Well
<br /> �r�" ? \n.�,
<br /> N•uf rrmrir Mn,or Date,.._,Lt__1 Other 1%041\n.
<br /> ! (1) OWNER: ? Ray�fr s RM Rgalty (12` VMLL LOC: .. :. .
<br /> """'� '•+T ---- 1 / Tnta1 Jeptyy-��''��� ft.Depth.H anmpra8rd n
<br /> _ address /9 • i�.9r7ar.Li.tee f;r,tn ft, to ft. Fnrmatlun (Describe b) color, character. Irlxe'er t terklt) -
<br /> �.7}�s— trD t 8 • ._,%in...�_..�_ '-',.-.:w�_vw's.::,x.:a;:. t
<br /> �fZ)'LOCATION OF WELL
<br /> (See intitrttrtinns): ;
<br /> 1 MPnrJ•. JaagLin„ Owner• 1�'eI]\umber_ ..o-�i 7-_ sts . �„1+ •:. .l::,sa-r``�ar„�
<br /> li'ell address If different fron,ahnvr
<br /> 3
<br /> "fuu'nshiP _RanRe•T �iT.� IpSce�•tlnn.
<br /> I)Islnnc�e from eftins,vNlds.ra■il�n,r.nds, etc.'Za FJ z. Jf�T" r�Q $.,� - ''`'•e'.- =?'�t- >f''
<br /> Ocl&ors h:, a�rPy1�aty;= 3
<br /> . .. (3) TYPE OF WORK: g++
<br /> \c,v t1'ellZ Drrt+enin¢ ❑ :,�`-•.. yvX R,,.y�'r^�l-,
<br /> - .. .. RrcrmstnrrlFm []
<br /> r - RecarnditinninK
<br /> Eli IlnAzmm�l �t'r0 Q
<br /> Destnrction 0 (Describe
<br /> - dcstnrctian materinls and
<br /> pmcedurn In Item iii `f ✓. l a y1,.) - t y+-,U.�Yf[�+ ^,y,+� -t
<br /> (4) PROPOSE6'VSEi
<br /> 1r6ralion
<br /> ]rrdustriu! ❑ -+:.. -. -; i;;�'�%,:fir"`.:ha: i
<br /> - I
<br /> Test Well - - ❑, _ �,>,e1,F,�k:,.Ka °"e"
<br /> Stock. .Q
<br /> Municipal 13.
<br /> +! WELL LOCATION' SKETCH - Other ❑ -'-i .,.•'a7 * - {
<br /> (3) EQUIPMENT: I61 GRAVEL PACK:
<br /> Rota n' Ite"ne ❑ "M No,0 Slzr - ,Yi;i:• :� ;�4'',`.r�'7i'3�'+i
<br /> Cable [] .. -Air ❑ .Diameter of bare
<br /> Other- ❑ Bucket Packed fn+m C)L .to 1. - s'�:F,Sx"'Sil�t+t'' '�•' i I
<br /> f i 1 CASING IYSTALLEDr;.._ (R) PERFORATIO.N.5-. � .0 Y+ - .• - ..... rr�5,;}1: :;i�'re;`r-.Y.r pi}`; `::.,i i
<br /> .. iiiltii kms:
<br /> Steri Q !'lastly &nnc-fe',❑ ':)7w•of frerforu6w rir raze of semenc
<br /> Fmm To--.. Dia. Cage nr From To) Slot.`
<br /> [t. ft.'—., in. «'all fL. ft. sizea dY`
<br /> ! (9) WELL SEAL:
<br /> `I {Vac■—h— snoitan•seal pnwidrtl? )1•a a \u " If 7 . 1.•dt•pth _it.
<br /> 1
<br /> Were .at ata sralr•el RL.3.11 5'r. f] No, r harm.! ft.
<br /> IE
<br /> Nrthrwl 0 sealim• Bentnni to ,ranrd19 Cnnrn]Med__ 'YI9 ' I
<br /> !10) WATER LEVELS: - --- I WELL DRILLERS STATEMENT i I
<br /> F
<br /> Urprh o! tint water. rr ku�+ssra_ rt. I TLIx ec f! r Iv ! fled nn.lr r r' i,rlirr r unr! old, ern rr'is 7nre to tAr Lot of ma
<br /> Stand;nu I—ef alter-ell ........ aa+.—_ __��fh � e'numfrrrtr cors hchry. - --. � _ e
<br /> f 11) WELL TESTS:
<br /> 11'aa svr11 rr•t eo.ulr! 1'r. Y� [! r• 1.• vinnv c�__.....� -.--� It�cif lmlivrl
<br /> 'type n! Is•.1 Pu nil+ r_ rt+ihr.: Arr tar i i v %IL; _
<br /> Depth to x Irr at a,:rf rf u.t__ se. At rn.l ��1 sr,r .__h i .1 . __.. , nor,�.�r..�rg�w�rNo"F1iT,+14�-likhtrdI� - '
<br /> F)lsrharcr-„- c.-Jrnin nllvr_-_:.�6�.,r. sc r••r r•.nmrwner.-� I add.
<br /> Cht•snirnl un.ol,.. mane•+ Ve a .\o.* il , .. r+,- xh..n.rI t''-` /f --Met '"'---!'iI
<br /> I \Vac el—HeLip r .+dr•� I� �n - II ml..,h r„pv b,Phi, r •err Li..nsr\•. -,� 1('IS`E 4- -.._t)ad •1,hes rctw+n '.`
<br /> DwR ISS racv,7.ra. +IF ADDITIONAL-SPACE,')5'tY8El7 p.CC15 NEXT CONST`{(E'YT N[J4 31'1 F.TJF qR .r...axt>asniauae }re p
<br /> 1 1977 ALG 4 1971 .
<br /> Ji
<br /> SAN ��: ^,{ l�'fd 4.! C SAN 3CA,-110l\l !_aCAL r
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