Laserfiche WebLink
'The tree Adobe Reader may be wed to view and complex this form. however,°oNwere moat be purctxeed o complex,save,and rause a braved form. <br /> File Original%1'i DWR State of California - <br /> Page_1 of Well Completion Report <br /> Owner's Well Number_ " i R.r . MMI!W PmpaM , State Well Numberl5ae Number <br /> Date Work B No E L 7 I N w <br /> Loral Permit / — S— / D ,Wo(k noted 12-1 'Ib e <br /> �en L„r G <br /> PermitNumber Permit Date I1 APW1xwuu r <br /> Orlentadon OVertical 0Horizontal OAngle SpecHy Name i <br /> Dreary Medved � - � State��L <br /> Mailing Addree <br /> Fog :io ,:FNt � C' L G <br /> Address <br /> C ity f)t(iGK 17'r county x;', <br /> Latitude <br /> ZO r <br /> J01 i / ow. Mn. a.. N��B Dm. <br /> Datum Dec.Lab Dec. Long. <br /> Book 671 <br /> APN BPage _ Parcel <br /> Townah R�ss... Section <br /> V New Well <br /> 7L'� N01d' O ModificabonfRepair <br /> r n O Deepen <br /> O Other <br /> ' O boy <br /> f, r dNb pv>a,s.M e.p.YY <br /> \\`t rtl O I LOO' <br /> r OOLDatoes ❑ <br /> Aud <br /> o <br /> ❑ mgetion ❑Industri <br /> al <br /> REG � / Cathodic Protection <br /> DevvetHeat Exchange <br /> DEC � ) 206 O Injection <br /> O Monitoring <br /> ENIRROAIS�ENTAL H O <br /> ERVI^ RemediaDon <br /> ?OO 2AGr n PERMiTISE O ng <br /> s sa,Southf SES OTest estwNl <br /> O Vapor Extraction <br /> ,rw...c naeesn•mm Ib...eThrr ggrr�ry. <br /> O other <br /> 041 <br /> Depth to first caster /rd/ (Feet below surface). <br /> Depth to Static , <br /> Water Level /0/ (Feet) Date Measured /6 <br /> Total Depth or wng Feet Estimated Yield' (GPM) Test Type <br /> Total Depth ofCompleted Well L Feet Tet Length (Hours)Total Drawdown (Feet) <br /> *May not be r9l) of a well's Iwo term old. <br /> DauRtaM OYalaln Type Matww Thk all Diameter amen akt She Depth from <br /> FM a Fee! Inch” Invites Irclw T)rpe ImhIf ea Few m F&M �t PGOA <br /> nK <br /> n <br /> ❑Geologic Log nName <br /> ,, re a protra and accurate to the best of my knowiedpe and belief <br /> ❑Well Construction Diagram Geophysical Love) RV <br /> LUXCA= ..�SoaAWat r CI AnalysesOther �,• <br /> r W& Datd Sidned C57 Lkerne Num <br /> DOOR re aEv.V2e06 IFADIXTIOANL SPACE 18 NEIh4gjuaE NEXT CONSE'OnrALY MANERED Ibra/ <br />