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CUADRUPLICATS
<br /> { Use to comply with STAT[OF CALIFORNIA Do not fill in
<br /> [ local requirements THE RESOURCES AGENCY No.3449n
<br /> DEPARTMENT OF WATER RESOURCES
<br /> N.4 r.•f Imml Nn.13��44 WATER WELL DRILLERS REPORT Soo.W lx
<br /> Le.I reppu x...nr D.H 77-297W ours WAIN.,.
<br /> (1) OWNER: N!.r�.Kq_:,gphg�+ r:� �� , _ (12) WELL LOC: rre•rl u.Pnl amin or a m,,Riet�eLL�n.
<br /> Ar'.IRn
<br /> riy,.z24 LreP Tree Rn,� fnxn (I. to It. Fnmlalnn (Dnetlbe by mnn, ehoneHr, rhe rH mk e
<br /> i2) LOCATION OFCWE _LL (SI•einstrnetions): -
<br /> I,.eRt San JD zri _(Tmei n\fell Npmhe. 1. d pecked sand
<br /> %tell edam.It dific,"l hrrm.M,w•_ ___ ._ 12 cia,
<br /> I—n.b4• \ _Renee__ Snlbm _ 60 - 6L Rrarsl
<br /> Ili.lnue I.—Min,n+.di,nllnmJn,Irne+.elr.__ 64 92 bzo
<br /> WCO fe-t 6--t of 11o"IFY Read and 92 !00 bri
<br /> 3.44 -4-le mouth of Lene Tree lived 100 416 send
<br /> 116 :1.14 reeks
<br /> ._.,._.__.___.._-.__.__—____._ (e) TYPE OF WORK: -
<br /> it 12 9 140— be—ittle city
<br /> iln+mamronn ❑ 340 344
<br /> IlnnlnllthminR ❑ 144 :164
<br /> I IlnrinnHi \\'ell ❑ _
<br /> Ihamclun ❑ (1h.edlw () 9
<br /> drelrv.'ll••na flay
<br /> tlertnln --- 3? brittte aIay
<br /> 1 \ - pnn,dnnn In Ile- IRI
<br /> I.• -
<br /> I (4) PROPOSED USEt -292 328 blPTEM-111lily
<br /> \
<br /> _ _. nxmnur ❑
<br /> IrdRxllxn
<br /> IrMprlRnl _ ❑
<br /> i
<br /> Too Wel! ❑ -
<br /> cd 31001
<br /> r I nWnkilrl ❑ rte.
<br /> WELL LOCATION SKETCH (RMr ❑ 94 588
<br /> Isl EOa1P1tENT: (R) GRAVEL PACK.
<br /> Rnot, ❑ Rr-- ❑ Yn ❑ N•• 464'l0 Size -
<br /> Crhk ZJ Al, ❑ D1.mete1.4 -432 M•n -
<br /> 6G brittle ct.y
<br /> 1 fRSr/ ❑ Rurket ❑ 1•.r'1Iet1 In•n+__m__ ._Jl.
<br /> L-460-476 semi peeked sard
<br /> 141 CASING INSTALLEDI- (R) PERFORATIONS:
<br /> SOeel❑ Punic❑ C.,•H ❑ Type nl mg-da,,..110—nr rertee.
<br /> Fmnl To,-'• Die. (,gX or From To Slot - 'r
<br /> ft. rt:. m. Wall tL_ ft. size 6-in ne' n; �aeked sand
<br /> pv9pi!v- sea! wasI
<br /> (9) WELL SEAL: - ,i.n.4.4 te-d en this well
<br /> an.nJ.rr..nu.n .a^rn.•..1Jnr• Yn n Nr. n a I-. I•,deolh__u, - _ n n.l T _m�;�
<br /> \vrn .1/xnl •e.Inl n,l ,•ahn:r•n:• ee,n Nr, n Ce a^,
<br /> %leU•nl •.t rrxhnx___--_--- —J \c.n .,nn1 1919 G noel
<br /> 1101 WATER LEVELS:
<br /> •' _-'--- t\'ELL DRILL RE :S F'fA'1'E.\I N9': n.
<br /> Ik.4nh nl Ii01 wuln x 4u. r1. 171.4 pill v .h.1"11Wr mor w.
<br /> x Ixnnl ... •r...I rLn ngnrn d Inv nr the Anl rrl n
<br /> S MI,o, lewl xhr, +dl r••.... m__ .II. kmnrHJn x nl lvlu'I�
<br /> 111) WELL TESTS: ---LL_ _....-- S.........
<br /> 1Cn ••:.il ua wale• 1... :- �.• It + .. I•. 111 111.___.x__ •.NrU 01.1f,
<br /> i t7r.'•n lmi rnx.l. , n..J./tl Ai/ mI LI I
<br /> YI,,ili _rskePrn Wr•11 'Irj _
<br /> ... _
<br /> 1 Dnnh ur vnHr al .Lrrl ..1 n.l II AIand ..l 1...1_..-_II rl•rr+..n. turn.nr rrnMunUon• 1
<br /> xrr/, o1\I.nl m I r,ll
<br /> unrlln.e.. _ e:d xrn• ,u.r__._. Ilxln ...�•x. .tarsrr.,___.___-3A}3'-SC1N -ll
<br /> 3t2d7d- -._.-_
<br /> Chnni...I ..Ae... ....J•.• \r• >.. r. h , . "1 ..b.n _J '-'p— -Oakda J.e z•l•_9=1'
<br /> W.• rclnr .w
<br /> r' by l.r rr. r'I 11n 11__n ,.I_.' .n... r ..n I Ix.r . S.._jss_Ljl _u•nr•n rm.rrnnxl Lin. "'_'"___
<br /> nl
<br /> DWR Iee ..r. I'I IF ADDITIONAL SPACE IS NEEDED. USE NEXT CONSECUTIVELY NUMOERED FORM ..•••+v .�•wx.•,.o'.n m•
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