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<br /> STATE OF CALIFORNIA Do Not Flil In
<br /> THE RESOURCLS AGENCY AA r;
<br /> R�n'h° cc" DEPARTMENT OF WATER RESOURCES 1�1 a i 2 5 ? 7 d
<br /> WATER WELL DRILLERS REPORT St.t, a'ell No._—__ ----
<br /> 0,1—
<br /> ___O,1 r u"ell
<br /> (1) OWNER: i I I) WELL !.OG:
<br /> Name Tnhn T)nn l; 82_ 1. I,rr,h r.f..mrinrd.,It Ro n.
<br /> Address j 71-3:1 F. :•.'Pat II,ipnn 2� r�rm,:,�D: nr.r..l•r is. ...
<br /> R 1 r.
<br /> (2) LOCATION OF WELL: 7-11
<br /> ta¢Dtr Gnrt�;nin tr.,.r.•.Damfi.r.,f,D. _ 111_'[ ^lair C1�a�
<br /> T—,hit,R.D51,rad Sell—r� T:'u R2L•, i P-1--T— Cc nd y�`+.
<br /> U.n.a tram r. ru,J.'onI...d..e _•:,
<br /> Irarct of " !(nntPa- t' � ,�l} — t;4 rid
<br /> (3) TYPE OF XIOR K (check): 24-3] _ cr hale — a'
<br /> New Vdi t Deepering ❑ Reconditmnirg L Destrovint; ❑
<br /> rf;
<br /> t/Brit-union,deicrsbr nsatrnal•nd f,rnredurr rn firm I1. _" (_ ""1 'r
<br /> (4) PROPOSED USE (check): (S) EQUIPMENT: _; (� -- and
<br /> Doricstic E] Industrial ❑ Municipal ❑ Rotary
<br /> Irrigation ❑ Test Well ❑ Other [? Cable ❑ __ ___
<br /> Other ❑ ____ _
<br /> (6) C,ISING INSTALLED: -- --------
<br /> STEEI_� OTHER: If gravel packed
<br /> SINGLE C1 00 V ISLE❑ P-1-1-11t 11 { _ ----- ---
<br /> Sake Dumeter - -----� a.
<br /> Fran I u or of From To _ - -------
<br /> (t.
<br /> E. Dom. ft. ft.
<br /> r,
<br /> 5
<br /> Pen
<br /> (7) PERFORATIONS &R SCREEN: — .r-
<br /> iYpr of Drrtar.u.m a of.
<br /> Pert. Rows
<br /> lits., Tu T per per Sac -J
<br /> ft. eLft. row R, in.x in. �
<br /> (8) CONS':;(UCTION: I -
<br /> 'V, i.,.h.,d—h 70 I
<br /> ¢r ,r.,lla 1'r �..-' 11. r Jrr,h f.1,1`�•I I _ .
<br /> ., O ,75 fnm Dlr,rJ 1Y
<br /> vI.1.1. 1)ItILLfR'S STA"1'i:\If NT•
<br /> Tb,, if ..; JrrllrJ:nnhr nes rurn./rrlrou and Ibr, rrQnrl n truv to lbe best
<br /> {4) WATER LEVELS: I rd ms k,..u1:1.:r uJhr6ri.
<br /> NA"iHennings '?ros. :,,rillinz l.O,!InC,
<br /> — .., `� I .err..,,.hem.ar.arsw..•a.nl tT,pJrn prrerrJs
<br /> (10) WELL TESTS: A.IJr c J .: i'IIlble I:d•
<br /> YirIJ
<br /> (ever' Y, .,I.r,- .1♦ .Ir^,Y••
<br /> 11 rtrrrf n,.ur.r r
<br /> ¢. rl. L. .1 .Ir•^t. ♦X _ I,.rn•r N - � .•..1� D) tell
<br /> SKETCH LOCATION OF WELL ON REVERSE SIDE
<br /> en».nD..ra.or r.n C�os•
<br /> I,YIR 1.•.f c, •r„r
<br />
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