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CENTRAL DISTRICT ID 227-7600 SEP 18 '98 16 08 No 006 P 04 <br /> • OMOI14AL 'CATER WELL DRILLERS REPORT Do Nat Fill is i <br /> vile•With Mt �L IS)ki r [', 0"ll.e.yert.Post,lon,>•oo:,wow co") 0 44244 <br /> THE RESOURCES AGENCY OF CALIFORNIA <br /> DEPARTMENT OF WATER RESOURCES 51su Well No <br /> spell Na _ ti <br /> (1) OWNER! 11) WELL LOGI <br /> Name hol.. TOM a th ac it Dterh d cemrlowd-til rt <br /> A _dm-GiTiN Drrrsjfe h7 refer.rbraeq, dt►el malrrfel end rhsttrrr <br /> [t <br /> (2) TION OF WELL: <br /> C., - fri 9 <br /> —A— Owner a nuTther If sn <br /> js=mhlp Raw,49 fee go S2, A <br /> 0,81sarr facia eitiat,tee6 railrada ate <br /> 1 <br /> (3) TYPE OF WORK (check). <br /> NCC x6 CU R Deepenmp ❑ Rwmdtttonms ❑ Deatro)ring © 'r <br /> J lratawtvlfon deurfde"Info[and torovedorr sw lteaa I I <br /> (4) PROPOSED USE (rbaek): (1) EQUIPMENT: r ; <br /> Domenic ❑ Industrial © MwucTal 0 Rotary ❑ az Lgo <br /> Irrtgateon IQ Tent Well 0 Other❑ CAle ® .`+ <br /> Other 5 zr <br /> (6) CASING INSTALLED• ti' <br /> OTL[Lt C1TH[Ri If gravel packed <br /> 29NOLE[3 DOUSLZ <br /> Gnu Doanwor <br /> lltom re ear Of From 7a <br /> 1t It 1 hams Wall Buts ft ft <br /> Q Q <br /> $h.of thor or wc11 ring -WILY S.a or ,...i <br /> Oaesibe a.atk 7 <br /> (t) PERFO TIONS OR SCREEN: <br /> T of +fetatleh er saaw of rerwn i <br /> Pmt Rows <br /> Procto <br /> TO pfr Per sire <br /> ft it ro+v it aia :in <br /> (8) CONSTRUCTION: CONF19— <br /> Vat a surface uaitar red rwldadl Yr 0 Ne Uff To shat d h ft <br /> parr.e strata.raid apimrduttvaF Yroil We If nea dorth d.rrota <br /> Fsem ft In fr <br /> 1'mon it to t[ Work s[arrrtl r 2.0 1!792 ,Com f! Za <br /> Mrthed of MHOlk wrLL DRILLE'R's STATPMINT <br /> (9) WATER LEVELS: Tbl, +fru WO dfkifd tendo+n47fsr/ldrerrAr awd ffif!rrpaet fr !rare to fbr bat <br /> 01 my kmotvledle rad Mutt <br /> P!rth rt which-an,wet bra[taeed .r 1ae-n ft <br /> Hendi incl hrfer. pdmung it hne-n ft NAME <br /> sus,41*1 level altar teres and h f <br /> (Wren. f-an.w WrwcM m) 711, <br /> M er trteerdl <br /> (10) WELL TESTS: 1►ddrEai <br /> t <br /> 490,st mad,l Yu 0 Ne 11 Yee,$1 wltrm/ c <br /> J' nei/min wIrh it dte-d.r...fr., hrt <br /> (w0fJaaltw) ��� <br /> Tem trsturr of—uer baa a cltawt.ril aeal sb,rrrdal Yea Ata d / <br /> mar rketr�r NA,mad,of-dll V,a 0 No D tf as attach to [,o.�px Np, J_g 5 ISO <br /> SKETCH LOCATION Or WELL ON REVERSE SIDE <br /> DW R fee t Nrty a fill spas e7e 10 r1 sem rale O 15 oar <br />