Laserfiche WebLink
i — <br /> 1 <br /> t <br /> Use to comply FUCATE STATE OF CALIFORNIA Do not F11 in <br /> Use l rquirewith <br /> i IOEaI rlyU)rlMsnb THE RESOVRC@S AGENCY No. 21454 � <br /> DEPARTMENT OF WATER RESOURCES <br /> N•N..,J,n,m N WATER WELL DRILLERS REPORT WOI,,, r. . j <br /> l�m�ole..�r.0 u. ♦♦�_ <br /> (1) OWNERI N.mn Roll (12) WELL LOCI TM.1 depti a—N. Dnple..l mm.v..'10 �.It<11l�R. <br /> Armlr,��Q�l—E. am Tree Rd* In,n n. t. a Fn Al. ,D... u <br /> x ns. Esealo_L c8 • <br /> Elard Ran <br /> (2) <br /> LW- ?1ELL (sre lustrneumo): Q Skis <br /> c.xlno�--- rnrn.:.tY.n NpmMr \ ,I <br /> 11'ell xJdnnx II dlLr ,Irmn xMwe pp((���� <br /> 1'..n'nAip �S iu"..--29 — <br /> 1 —S.tlZI <br /> uLLrlx.m.m ruler,m.ax,mnn.w..e...a.xtp 2$ 45 Rand ` 1 <br /> xoz!tjl add& Shad <br /> Gla= <br /> (3) TYPE OF WORK. 86,100 "vid-lallivel <br /> Deepenln40 igq!!�45 Shale <br /> l L�_ <br /> Nmrn.lmt'Nnn ❑ y I o Vp <br /> nr...mur.nM. ❑ play <br /> a Inn.n ❑tplEah+W — <br /> nnaeJnm In It.. IRI - <br /> (J) PROPOSED USPI = — <br /> Dr.mnae '..'.. . <br /> `' brl¢xtlnn Q - <br /> Im1a.Wn1 ❑ - <br /> TaI %Vrll ❑ <br /> Ielnnlrfnxl ❑ <br /> WELL LOCATION %KETCII Olhcr ❑ <br /> IDI EQUIPMENT, 181 GRAVEL PACE. <br /> Nmxry $ Nevene ❑ Yo$ N..❑ Sixp <br /> C.e1r ❑ Al, ❑�, t)ixmrler nl M.m_�� <br /> 00e' ❑ Bmiet ❑ PAd1.l lnxo_ t 1. <br /> (11) CASING INSTAIR/ PERFORATIONy[1�yy� F <br /> WO❑ PI.01 �ubarr'ti.O Ty,'q p K'. u........... <br /> �r'nr�v ' <br /> Fmm To Die. Z:ni:e nr FTO To Sloti <br /> LL (t. size - <br /> 191 WELL SEAL1 �— L <br /> 51'a mrlv....:nulxn' uveipr.n'Idr.1• To.L1 S., r 11 1111 ..devW_._sg�._II. I = ___ <br /> 1Cem alnrl:. r':drd nN .r•Ilnln.n. T1ie. �I N» Ilnrn-:.I_ I`a_II. 1 <br /> NrlN.xl »I :o-nlv.a_. J L I A 7S 1 1 .Jrly 111 <br /> 119) WATER LEVELS! R I \YELL UNILLER;S SI'.A'I'EMENI`. <br /> .a ma,CLIP•pn.hlinc Ir..•l ...I,e. . ...... .0 x l- .rlll <br /> .. ..-._...... ..... ...... <br /> _ 1 r.. . <br /> lrr II ." 1,11,1 r.... <br /> . <br /> II I I WELL TF.S)S <br /> 1 �I L1,_ .�, r• <br /> In .0,.. <br /> All lin . . I .. 11A= �DfV7♦ ! e.nl..I.>I r-^�_• <br /> D.'Ine n: un.r, ..1 .r.rl .•1 1... 1. \. ...nl ail 1..\_ 11 I -. _ .._. . <br /> n. . <br /> 1 . „ . f .'.'I,. .2500 x, �Itul:Ibla � <br /> ........ 1111 u.»1111...»u 1111. <br /> Calfi. 95350 <br /> ! r.M»nmol .n.J.... �n.,,n.. .., .. i a 1111. .�, u o.,,• _ - . .i -Actlaatol, <br /> QL <br /> i Wa%nN.ry ru.. l 'r rl •.S i..� 1 .•... t..tl 1111 wr f I __ _____ _ _... ..__ <br /> u.r .. ,Z�}'�:_ ..D..Ir.tl ln...rl.... .�SLrLI. <br /> GN•n y9r .. IF ADDITIONAL SPACE 15 NEEDED. USE NEXT CONSECUTIVELY NUMBERED FORM - "' <br />