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f kt <br /> f <br /> IGINAL OTATC OF CALIFOAmi^ <br /> Da not fiiI in <br /> THE RESOURCES AGENCY 226574 <br /> �r� )E flu in <br /> I DWlt DEPARTMENT OF WATER RESOURCES No. L G 6 5 7 4 <br /> WATER WELL 'DRMLERS REPORT <br /> :e of Entail Nn stare Well No. <br /> 7•rmlt Na o:Daae Otltar Wolf Nn, S Q <br /> .99 <br /> OWNER; NaDon Cose WELL LOG_Lsir+ <br /> me (12) : TotaldpHi <br /> _� • w <br /> I)apth u!�vmplaled k <br /> a • Ox (Mm ft. to k Formation (Dwerfbe calor, character, rise or Enaterfal) R• <br /> TIpU D gr�a�cy a. up - ops rial)� <br /> LOCASan oa WUlII - ark <br /> (See instnrctiana} <br /> ttY ownds Wall Number <br /> address If different fmm a 22 - <br /> jo <br /> • } <br /> aship _ A.r^e^ tin - <br /> am from eitift toad+.railroads,fences. C+DZ ct•ee&at O 0 �c a <br /> to south side Banta - <br /> 69 - a , <br /> 103 - ncl <br /> (3) TYPE Or Waal, 8 <br /> New Weu t$ neevani>sa ❑ <br /> Aaeonatruetloa ❑ <br /> neeeodineains ❑ <br /> HOAXOnml well ❑ 77, <br /> - _ <br /> Destruction C] dri <br /> datrucdoa materials anb.d , <br /> pmcedum la Item illt - <br /> _ - <br /> (4) d <br /> PAOPSED U$>�( <br /> �rnntk _ <br /> Indnatrial ❑ - -. <br /> Tat wou ❑ - - <br /> Stnek <br /> Municipal ❑ -WELL LOCATION =TCH Otber ❑ - <br /> COULPMENTr (t]) CllAVZL PACKi 02'1 erey. <br /> try V Reverse ❑ Tux No Q 3 - - <br /> ls ❑ Air Q •Aiaa.•nr of bow lit - <br /> rr 13 f)ucket [] wce"frmk - <br /> CASING INSTALLED, (a) Pl4ril OBATIONsr - <br /> I❑ pwde Type of o os it:t of screen' - <br /> n � <br /> rort► TO' Dia• C4"&l6v F N. To �,x <br /> ft. fuwau fL slid <br /> 'rsdreen .- <br /> WELL SEALt <br /> 1 surface saaltary sW Pravided? yti J1 NO 0 U yes.I dmt1_.j4___ft. - <br /> m stnta snled spirit pollution? 'r-❑ No 0 Iotru+.s ft.- <br /> -bod of $*Runs. comal3t Work carred.- I V-18 Completed- 'Is— <br /> )) <br /> Is)) WATER LEVES, WELL DRtMER'S STATEMENT., <br /> i Ah of Ant vftw. if This wait mss drilled reader mg iarwkslom cad fhla rt It tree to am bees of a <br /> oding level aka:wall eom knowledge and n of r <br /> 1) WELL TESTSr Sic. <br /> I wr""+at reale? To Cl NON If yes, by whom T p,� -�- <br /> f"C3 sailer fa Air lift 0 NAM He2�I! n S BT08 a 3.1Ttl��n$ O e S�IIc• <br /> ytlt •+rr.Nr u start Of tot--k At and of tns rt 2 Ply r 9[� �� <br /> ik abarg! LMll�ala altsttrvues Waost tamps A rC1 7ltt <br /> Ail'aaairsis isles. ,Yes. ;..:Na R f f yes, by .rbom? <br /> City e S�. R <br /> k hfe made? I k INe rf res.attach to this Lkan"No- 290 13 nolle e(mis report 2r9' <br /> M laR trlsv.?•sef IF AL31T[ONIAL SPACE 13!NEEDED. USE NEXT CONSECUTIVELY NUMBERL*D lrORM <br /> .7...A_ nTn,•nil 1'7 .rr nn 7T M no <br />