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.. ..r <br /> QUADRUPLICATE <br /> WB to comply With STATE Or CAur2RKIA Do Dot Flt in <br /> 10eDlT040rement[ THE RESOURCES AGENCY <br /> DEPARTMENT OF WATER RESOURCES No. 083137 <br /> X,"".(fetmt Nn._ NVATER W ELL DRILLERS REPORT State <br /> i Lied i4nni<No. <br /> or Dor--- _!JL. 00rr Well N..._ <br /> n <br /> (1) OWNER: N.mr Ma1r�/y� He (12) WELL LOC: TotAi depth---M.Depth Mrm,Wed.®1�/r. <br /> .Addn X5404 S A I Orth Ripon . town N. to N. Pmm.noo (Dr ribe M n't' rintveter. rb. m..brief) <br /> city PSB yIP 0 - 22 Sam <br /> 22 - clay & send streaks <br /> — <br /> (2) I.QCae�'IIY�\) QF•�'rELL (Src ItOent<liotnl: _ S <br /> Gwmb o \VrB N.odn'_ - S <br /> \vr[Adrenk <br /> d .II al[ermt laAtow <br /> Towmhl w _ vy - e <br /> Dw.nrr rp..title.,re.a,,mnnwlA bnR..«r�1 +622 E DoIIR hUR - - <br /> Hest of North Ripon Rd. <br /> north sid - <br /> (3) TYPE OF WORK, <br /> Nr. ,Vril Z L. riinv ❑ <br /> Rm�rotmrth� ❑ <br /> Paa.+Mir4.ninv ❑ - s, <br /> Ihodmnbl WrIl ❑ - pp <br /> pmmdurt. M Item S L, <br /> (4) PROPOSED <br /> Pwne+llr - `;V <br /> Ir"AAINn ❑ (`I� <br /> WKI.1.LUCATION S[ETCII pAer ❑ - <br /> (SI CQVIPMENTI IR) CMV ACK, - <br /> ggAry RMrm Cl No SI <br /> `/-CWb ❑ Air ❑ r of here - - <br /> _ otl.r ❑ Kakrt ❑ <br /> IT) CASINC INSTALLCDr IB) PERFORA 1 I - --- <br /> Sbef❑ Phrtle(� Tyco of a a of+tree <br /> .,F/Lm law f II� Wally FIL�. •T = ._....__ <br /> 1 <br /> y. (A) WELL SEAL: ss - <br /> WA,.'f.rAvkw.eAI preetd.d? Y. M Ifo❑ If Ym to drpth----Wt- <br /> \V.m mr.b D.Ied .Eclat [mllutMe? Yet❑ Ne ❑ IntervAt fL - <br /> McWod d eb11nR Rentnni L1 \YorkefA IB IB <br /> IL <br /> :(10) WATER LEVELS- <br /> WELL DRILLERS STATEMENT: <br /> Deptb a Ant .Aur, If hte..'r._ n. TAI,.01 uV"fat..arr my furiinfidha.Ad rh4 repo" .tar ro tM Ar"q aft <br /> IAVI It. <br /> StAedia,I 4.R.r well v.Pw IwerelNte .d bfte/. <br /> W.1 ev WELL TESTS, i\Yell D"Ver> }� <br /> N'a .I at made? Y.❑ Nn 11 Salk, <br /> Lr .hmmf Drily i or CO. •"e• <br /> Type nl tet Pump ❑ B.IMr, Ai. Ille❑ ,�'AMF Hennintta B2'Oa. L <br /> Depth N wnbr .t .A" of t _It. At .ml et t N 71 5 PalandD etY ATEY�mPrinted) <br /> DlerAaR ..1/min .per rwn \Vebr trmprnbn•� -'\�- <br /> Y li C+ <br /> cb m .e.bn6 mW.? <br /> Y. ❑ No� 11 ver. by o'bQaP1-lam'1-+ .. i <br /> Wa.h -NA mrd.? Y.❑ Ne 11 yet.AN.rA dqY Ar mN rttwrrt IJreA.e N .b N tAh repo <br /> 13 <br /> DWR res rw.v.nTo IF ADDITIONAL SPACE i4 REEDIER USF..NE.7tFONSECUTIVELY NUMBERED FORM <br /> GAN J'' Q'�'"; LJ'iT <br /> _ <br /> DiSl <br /> C'v� <br />