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4 <br /> s�. <br /> f <br /> I I <br /> a <br /> I{ rr1a WATE OF CALIFORNIA OUAUl2I,lKICATE THE RESOURCES AGENI-'.Y Do flol fd! frt <br /> Use to comply with DEPARTMENT OF WATER RESOURCES <br /> III local requirements WIVIIER WELL DRILLERS REPORT No. 299393 <br /> i-of 6aent NoSm'.LVe11 Na. - <br /> othrr 4Vell Nn. <br /> -rat Permit No.or <br /> (1) OWNI,11: Nates '1^ru:::t 4;creTs Y;C1rti4 (12) WIi1J. LOG: 'rural drp111 f1.Coln 1,10rd depth fl. <br /> I <br /> Addrrss 2115 ,`S {'+ • f"En" 9{ el.?,;r'It Fls Y r,1) from fl to fl. 1'mm:,t1on(UescriLe by color,choracter,size or nwlerial) <br /> City h rnr %IP 1!"_5v --- <br /> (2) LOCATION OF WFIA.(See instructions): _ <br /> I County-,c 311 +or a i lg Qwnrr's 1Yt•!!Nnnllwr - <br /> - I Wrff addrris if diflrrcul!torn alatewr `1��`� ie"•CI Y1C .V?.�.CUC::(L fit � <br /> Township. �— !!:tart_. -i,<'L- _—ti[•[•tion�)%S _ - <br /> 1)Istann•from cilirs.rnsas,railnhu!s,fvlwe�etc. - -•••• - - _ <br /> i i'tW r.or=+:rr r,f Pnciiiet r1v{:. dl I4:Ic h Lti. <br /> in <br /> (3)i Yl'li of,, - <br /> , .. I New M-11 1; lyee[ening d - - �i. -•• - <br /> T1eaYnl.,tructinR ❑ — <br /> '11ditimij jig <br /> 1J II r"(rfj � <br /> llorizon1a1 Well ❑ <br /> dot,uctiun materials and pro- <br /> c[dtirrs in Item 17.1 ^ �'v <br /> (4) PROPGSED US <br /> 1 lhnnrstic <br /> �I Irrigation !� `� •5.j��'\j - <br /> I Ll <br /> l 1-` <br /> yrrr.����{�t` Tt�st Wr/lh \� [� •C\�.C}-'s r `` +1 <br /> „'.r lY ��•�• �I �r1� 1�t11r11['i 1Lll� ❑ �`1- — r`�l +.V <br /> 44-t t <br /> ...I WEI,L 1.(X:ATION SKETCH �ev�ilx•} �� /� � _,'�,\�, _ <br /> (5)EQUIPMENT: fi]\G�R31 ACK: •J - <br /> . - Rotary ❑ Reverse ❑ `{�.i Nu Stzr\� •f'. \` Y <br /> Coble ❑ - Ai- ❑ ~int!Afr of Mne <br /> Otho frnm <br /> ..,iY (7)('.ASING 1NS"i'AI.LEE7. (I1?PEFFOEIATfUN} ` \1 ,,,• <br /> Ire! 0 Plastic M 'u n e ❑ Tyre\f�+erfor\\Ia4mn w sizc•oavrn <br /> From o D' Gage or t-Finns <br /> It. Wall <br /> (9) WELL SEAL: <br /> FVaswrf fyc,tu�ierlh_ ft <br /> IWere stratasealedagainst polhrlism? es El No❑ Inlvrval _�ft. - <br /> i <br /> . McrM�dofsnling Lt'I.•1-r--Yht !*�,"T7V�„�'�41��y�cf��� %Yorfcsfartrd. [klmplrtrcl _It7fLl2 <br /> (10) WATER LEVELS:. WELL DRILLERS STATEMENT: <br /> - pepth of fist water.tf im,wn r. f t. - . <br /> Tf is well ur'dr111rd under ra jurlcdicEf m and fhls report is true ra the <br /> Standinglevelafierwcllcanplelimft f! t. lx'sf of nly.iijl rledreandlx•luf. . _ <br /> (51) WELL. TrST& signedWas well Int nude? lb:❑ m La If yes.by wh-m? + / 7 ir,If UTiHssl/,1�!. . ljr; e - <br /> ... oltest ---------------iksiler❑-- --Ai�bft ❑ �- - 1sAIs1E �1 ��'..- - -- - --,- ---- ---- -- <br /> rWl.tow terats[arluflesl ft. Alendoftrst - .ft. .1 rw14firm,s trysl�mtN �j Tyfr'cl�ryriY,tedl <br /> ti"?)iuhargc galJmina[ter Ixrurs Walcrtemprrahsrr <br /> - - - 4hrmimlanalysis"de? Yrs ❑ No IfYkIly-1-0 - City <br /> Drle of this relwrl -- <br /> ` WMvIertriclognlarle -Yes❑ No ff ye.�atlach tnpyfWhc.erizxl 1—lceirw No. - <br /> iF AD13MONAL SPACE IF,NEEDED.USE NEXT CONSECUTIVELY NVMBCRED FORM - <br /> DY/R 14113 tRuV.t7.8E1 <br />