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•, r �/ a <br /> RES U CEL AGE Do Not Fill b <br /> THE RES$D ROES AGENCY 7�� 1 <br /> um DEPARTMENT OF WATER RESOURCES N? 88274 <br /> trMY.r�owlll .t <br /> WATER WELL DRILLERS REPORT Sus.aFdt 7� )'S`Cv <br /> Olh<r V.0\n <br /> (t) OWNER: 11) WELL LOG: <br /> Name �g Tr- T.A yrrs 3 <br /> AddressY- <br /> Fwrvri�:brr.rM/Jrw..rM.r.n.ri-v - <br /> (2) LO ATIO OF WELL: <br /> if - <br /> U:rrti.rr.w • • 4 — O.. <br /> oet e,r <br /> (3) TYPE OF WORK (cbeckJ: •� <br /> Nerr Cdt DaRo:ot ❑ Rcco.d:aka:vt ❑ Onvoring ❑ V=7 < <br /> f/4✓nrl:w.�ns+:k.<rnul•dl rf !r<w N. � • � t <br /> (4) PROPOSED USE (cAccAp (3) EQUIPMENT' <—! .1- <br /> y Domestic Jr Industrial ❑ Municipal 1-3 Rotary ❑ �'l <br /> Irrigation ] Test Wdt , <br /> ❑ Other L] Rota / <br /> Other <br /> (f) CASING INSTALLED: - ol2r <br /> •TILL: OTHER_ If gravel packed 29r <br /> IsmaLI n ELE❑ <br /> 1 of G+ D:aev:r <br /> of F. To <br /> 4. <br /> ft. Dum. will Ewe_ fs, fu <br /> (7) PERFORATIONS OR SCREEN; <br /> r N,..I..wr.....r�.rN w.... <br /> rr�nr T. <br /> fl. <br /> If. <br /> — 3 <br /> (x) CONSTRUCTION; <br /> __ .J.Jr .r rNlwr Y rilm�AJu _ <br /> Ywu I-Jr WELL DRILLERS STATEVF.-VT; <br /> (Y) WATER LEVELS: TA: .Yr...Jn0,j. J<r .,i,N,J:.-I:s.mJ ra, <br /> .<pr:,n.r m rsT Mr <br /> wra.r.ws....,..r s...r...J d <br /> <rN+<hd trlw I,N.rU�w.. .f lw.. NAME <br /> Nx6n.MO Nn.wl+u..e.•J J..W..nne 1 IM1..r.u. ,/rwr n l:iMr wr Fr Irl. <br /> (lo) WELL TESTS: Adnr<„ (- <br /> �,W eve <br /> W.-...e re.r wry. Y,11 N.r>( <br /> SLKAY - <br /> Tsrvrnvr <br /> rrn <br /> SKETCH LOCA:'ION OF WELL CM REVERSE SLOE _.. <br /> HOOPER,DAVE L. APN: 007-070-29 <br />