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t - s <br /> q <br /> STAT!OF CALIFORNIA <br /> ORIGINAL THE RESOURCES AGENCY DO not NII in <br /> File Wi}(, rjlR DEPARTMENT OF WATER RESOURCES ) <br /> WATER WELL DRILLERS REPORT No. 257287 � <br /> State Well No .+- <br /> Notice <br /> Lar. Permit Ne or Lde�Q- 'LSA 6 Other Well Ne <br /> OWN R: Name CH�U �N SA (12) WELL LOG: Total depth 'Z!_J ft Completed depth 17 it <br /> A..2,e,n Z O H I O P- L from ft to ft Formatlon(Describe fry_rbr,character,size or material) <br /> N <br /> City 'S4 V- OA/ v'o.v <br /> ' - 5ct•,- c1 Ike traati r�r` <br /> (2) LO�qCA�Tp�O-N-{OF WEL1,(See instructions): — w 4ti r L u.-o ✓ <br /> County <br /> In PC <br /> V11') Owner's Well Numer <br /> bL taw SV4 L*") } <br /> Well address if different from e e 9 �• KrM1SJoN RD. VAgTA fh <br /> Township TZ S _Renge ��y� el`4 - <br /> Distantt(rqqm cities,roads railroads,fe ces ette r s''� ( •$ S 4u w�.0 614t <br /> N�Si ie- <br /> <rsW a✓ ( - 1 5i 5 t Wtn. it <br /> J - Z .S Silr <br /> (9) TYPE OF WORK: - <br /> New IM, <br /> Well Deepening 103- <br /> Ell <br /> aUi Y}W11 Recomtruction ❑ ye <br /> `p Re nditioning ❑ vy' <br /> Horizontal Well ❑ _ of <br /> -MPP 41AAL- Dalruction 11 (Describe <br /> �-J rL destrucFon materiels and pro- <br /> ecdures In Item 12) _. <br /> (4) PROPOSED US _ <br /> Domesticon <br /> - - <br /> � <br /> Test Well <br /> ❑~� Test Wen O ❑ o- <br /> P - Munici ❑ - <Z> pp�� <br /> er('f klA& <br /> WELL LOCATION SKETCH �) — <br /> (51 EQUIPMENT:- GRAY CK l <br /> Parry ❑ Re.ene ❑' Na 1 kt <br /> Nr ❑ a ofbore . <br /> '��P62a�r ❑ Rue men <br /> (4) C INGINSTALLFD (8) PE P tS Q - <br /> Seep❑ PIuMc TY a erk.d <br /> From D' Cage or t <br /> ft f Wall L size - <br /> O woL.1 O»I - <br /> (9) WELL SE.SL <br /> Wuwd.renniluyslpn,idedP Yag No❑ Ifya,ladepth I'57 It - <br /> Wetertrau.eaw pux PpppllulbnL Ye ❑ No 2T Intm.l It. - <br /> Methodds>Iin6�Bzsfc+� I � C.st tr.Ct.l Yvo Workst.vocl 0 19 Compkhd 19 <br /> - " (10) WATER LEVELS: - - - WELL DRILLER,') STATEMENT:: <br /> peyhof rata.+ter.Ifkrown ft Thb melt maa drtlled undn my JurWfctwt m t repart✓J.`a to th tt_" i. <br /> kudlnB kvel.(terwellmmpk•' B �Q.JIu9 It best o/my.Fnoruledge and bul4. <br /> (11) WELL TFSTS. ��(( P o /}- ENG. 1(JC signed W, 1 <br /> Wu..cll tat nude? Ye E]. No ❑ Ifya by�honr7� Al.lift NAME SPFeTQut1. rxPtL�pno 2AilOnl ( AJC <br /> TYp.el Pumo.❑_ s.ikr l7l- Z y ,{P �I��ryDR C IITYpede.prlemd) <br /> - fhpth to pkr 4l nfy of ar.S� />O h. Atedefteat ft Z& Ge 1"sl STS <br /> >4.Lr'I Cj m.ner_M.n wa.r prmtu Addrev 10 <br /> Death eE Cit l"aG K a ZIP 1.5"205 <br /> - <br /> Death <br /> m,det Yer k No ❑ lfyabrwher„+ Y <br /> yyy WueMVdc made Ya ❑ No IfYa au. -p t01hbrt Li,.Na Date of thio <br /> ch <br /> IY A OTONAL 9PAC! 19 NlC000. U3E NGXT CONICCUi1VlLY NVMBlREO GOrrM M WV + <br /> Overt laa IIrC.'. talo t'�j <br /> i+ <br /> ii <br />