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ORMINAI a� rtAn os cAuroRNu <br /> Fila with DWR TiI2 REKOURCEG AGENCY Do not fill in <br /> DEPARTMENT OF WATER RESOURCES <br /> NATER WELL DRILLERS REPORT No. 358396 <br /> utlw.f Intent No _ <br />+al P.mll No or D.b Sbb Well Na <br />'--'�" --- Othe6r/Well No <br /> NNER: Nunr (12) WELL LO <br /> , C: Tobl depth�! H.Completed depth s <br /> IYr Irmo R b h. Funn.tion <br /> 21P (DemriLe by miur,elumo.,dm or nntww) <br /> _ <br /> J LOCATION OF WELL(Sce Isulrucllons): Z <br />+ur - Owner.Well Number J <br /> ell Ire.It dllfe mu from.bo <br /> n"mv Itense Sedbn <br />'Lance fmm eille4 rw I%r.11rads,fences,de _ IC <br /> eEM <br /> (J)TYPE OF WORK: .S <br /> New Well (P) Denning ❑ - \ t . <br /> Remmtrudion ❑ 77 <br /> Reconditioning ❑ <br /> H.'J.'W Well ❑ - - <br /> D.Uuctlon ❑ (D..cribe <br /> dN"enp.m.teri.4.rd pro- /07. <br /> ' +.;;, •` a!/ <br /> ndwa In Item I2) v <br /> (4) PROPOSED USE: 'f <br /> Domwlic <br /> Iml.oi.l 13 <br /> TW Well ❑ y <br /> Munidpid ❑ <br /> 10 <br /> WKii LOCATION SKETCH Ye�i4e)) - -�•. eNLnei���19y.G(� <br /> ]� <br /> EIlltP LENT' <br /> R-e`Y 1316— 13T No� /\ <br /> O ❑ rem 1 U .- <br /> �- SIL <br />�AIbSoWCINrrAL:BA (8)PER TIONA �1 f.. <br /> 1 Y. PLRb❑ .❑ TYY #Zt(lart erdrd ^ - <br /> ILr fl CW�dlr V04 <br /> C <br /> P <br /> V ILL SEAL: <br /> RdtC�.JwYnlpwlded} Y.'$I Ne❑ Hyq bd.µh �IL <br /> aRrWr.idw'm pe9dlmi Ya❑ T.❑ ImeNJ _IL _ 6 <br /> hl '.eg <br /> 9 ATER LEVELS: Wark R.rted /7— I9 Cem lebd .I9 ` <br /> WELL DRILLI:R'S STATEMENT: •' <br />>6 r.rE..w.gt..... /V S' r r <br /> d'eE1MJw rn4tmpWa /.,!_.S' _R <br /> This fell ural dnllod under L.Q. d41bn and this report 4 Irye Io Ib <br /> -ELL TESTS: bat aJ mY keauledgo and lls/ <br />. tR-.YdPa}d dNRYe_s❑ No❑ II^O*hemi pL Signed <br /> (Y.rru.lbgroapod ❑ E.u. A461t (WnDrbr <br /> nl'l) <br /> _IL ME <br />'enp. T <br /> .p ) <br /> AJJrau <br />-weedrr4..d.} Y.❑ Ne❑ j"'b'eh.et CITY 21Y_ <br /> rh abg wd. Y.r- N.13 ;(Y�.p¢h•spr tat hu nowt Liwnb No Denof thirnmrt__ ' <br />