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CRIGiNAL S-;.,;;= OF C.{LIFORNi.� waha I — ' M <br /> P"Ife with DWR NVELL COMPLETION REPOF <br /> F,ge 1_0� 1 Rrfrr ra lnslruction Prnlpb.er <br /> Dwner's Wcli No. 50 ^ 6 �" <br /> � 1 I I <br /> Date Work egan V23/98 <br /> 98 E I�ea 9/2519a Lp FrLME Lc�G UCE { <br /> Local Peri' Agenr1 T i n — I ���_.� I I <br /> Permit o CM T 6479_. .,_Pernit Date /I�9p Aay' <br /> F <br /> I� GEOLOGIC LOC WELL 0 W N, EB- <br /> I ORIENTATION {�) `�` VERTICAL HCRIZ::NTAL ANGLE (SPECIFY) Fame "Wti1 bu= E lis <br /> DC'T' TO FiftSf tiVATER (Fl,{ BELOW SL'AF�CE Mai)inm rldd;ess ��i w* Ste '''f '107 I <br /> ELRFACE DESCRIP7I0V <br /> 7r1�• <br /> FI, to F!, i 'Crrtibe materiel, cram sire,celar,nc. r�-r WELL LOCATION O N a. -- ! <br /> I ; <br /> C� "l Address 2}Z�i..T,�T <br /> I 4- r' City <br /> 1 C 1 G r CountySaaqU' <br /> a APN $aort tj i?agc Pa, I ' <br /> r Toti unship—I_ Range E-E SeC:ion 7a <br /> Latitude :.4 ' NGRTTI Longitude 171 1 1 G i a wl <br /> WA. � SEC. C£u. lfitf. Scc, <br /> LOCATION SKETCF, AC'T'IVITY (� <br /> . ' I <br /> NORTH NOW wF L <br /> . MCC IFleaTSt;,N/P.a^.�Alfl <br /> �.Ceapan I <br /> 1 I , <br /> d;l �DL1er(SPeelh <br /> ' I pfoe�Clrfeaertdl.rnla <br /> Under`Jf-_L=Lt <br /> — PLA.VliF0 IIsZ <br /> N N <br /> CONrt: r1 I :r: 1 CF I. 11 <br /> ! <br /> waterCode ..e s..l ,_.. wa"c�3uFPLV <br /> �I �� Ocnea,ic <br /> � 1 <br /> F � � Illduair'wl <br /> T. <br /> r <br /> 1 I CANC=PRC' <br /> 1 , scu7ri TICH <br /> 1119+sirtLe or Describe rlCrLance o/Wcu fmrr.Landriwres _ a'ff ISpeelfy; <br /> such as Roeda,Swidfnyi•Frncp,Alae=,em. <br /> PLEASE Si ACCURATE 6 COMPLE-E. <br /> I <br /> DRILLING <br /> METHOD Fin1.3!^w- C1-nm A+�r+nr Ff'JID <br /> ' WATER LEVEL XIELD OF COMPLET D WELL — <br /> 1 I DEPT}f OF STATIC- L ' <br /> W.TER LEVSL���a CFt.) & DATE MI ASURE7 — C'/2/oB <br /> ? <br /> ESTIMATED YIELD' (GPM) d 7;_:5T TYPE <br /> TOTAL 17zF7-i OF BOMNC _{Feet} TEST LENGTH (hrz.) TOTAL GRAWCOWN (FIA <br /> TOTAL QEF t it OF COMPLETED WELL SZ (Feci) 'May nor hC rdxresrntarr.r Of a UWIPS!an#(-terra 7idd. <br /> DEPTH EOAE CASING{S) DEPTH <br /> ANNULAR MATEFiTAL i <br /> FROM 5UFFoC: HOLE TYPE( } FROM SURFACE TYPE <br /> OIA, INTcRNAL. GAUGE SLOT SIZE <br /> MRTER#AL1 CE- P:N• <br /> Orrettee) �+ � t71AM�BR Ofl WALL IF ANY FILTER PAC <br /> Ff, to F4, m � rsRACE onch+a) THICKNESS tul �.a) F;• to FI. H6NT TF7NITE FILL (Type SIZE <br /> ° C a2 n <br /> e <br /> I I I I I I r { I I 111 r`_-_A <br /> I i I I I I I <br /> I I I I I I <br /> ATTACI-iNENTS (%) CERTIFICATICY STATE-SIE-N-1 <br /> Geakaplr:Leq I,She.under,eigned, certify)hal this repo <br /> �yrt is completA and accurate to the hest of my known �Qu end heli <br /> Wall Z;]nalrt,%icn 0i.grem NAME .r'�K <br /> (PERSC". FIRM, 7R CORKRATIOn; (TYIND OR PKNFEP) <br /> Ce aphyelcel Lep(s7 el� <br /> 9oll/Water Chemical Analyaen I!' ZR' <br /> AO:RE.iS - CirY Si ATE <br /> ATTAC4 ACL;70HAL WF_PWTICN. IF IT EXISTS. S;Vned 'CSI LK-cMf NUM <br /> wF QH Lc /MVT710 rUD rt>;.rn:SEKTA7 aa! S:G4eJ <br /> ❑%YR;MREY.'.w1 IF ADCITICNAL SPACE IS NFECEJ• (ISE NEXT CONSECUTIVELY NUMEERED FORM <br /> J <br />