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4. oal�tivwL WATER WELL DRMLERS REPORT Do Not .Fill is <br /> File Original,1uphote and Tdplicala with the (see.lo"7079,7077.TOM Ware cede) � N� �6 6 3`� <br /> W <br /> REGIONAL WATER POI.x,TT�OIv SiiteVP'sllNo`._......._,.-._......--..—.... <br /> CON'T'ROL BpARI) NO...�j~ STATE OF CALIFORNIA - — <br /> :.fpro�rf.lr etmbrrf <br /> f J . 'G=well <br /> (I) OWNER: (I I) WML LOGt <br /> NafDC L„+u Tesal drprh I it. Drprh mf"—r4ftd well Es. <br /> Address -I Fermrrfon: Direr:rrj�70!97,etar.rrerr ray o/ els d rNfeltre, <br /> Ft.m to Es. 3 <br /> �r <br />' (2) LOCATION OF WEI L: <br /> f ovases number,if ems— .. <br /> JL.F-0,or Serres No. Y 4K <br /> '1 a <br /> 76 <br /> s YJ a <br /> .. •� v <br /> (3) TYPE OF WORK (ch.04): <br /> T'mw well 19 Deepening ❑'` Reeoaditioniiig ❑ Aba■dou ❑ /10 2, <br /> if•boodorrstene.Iercribe mdterlel edd proeedwe in items If. <br /> (4) PROPOSED USE (cbeck'): (5),EQUIPMENT; a <br /> Domestic K Industrial ❑ Municipal © Rotary <br /> Irrigation ❑ Test Well E] Other ❑ Cable [Ell <br /> Dug Well ❑ <br /> (6) CASING INSTALLED; If graYCl packed <br />� <br /> 3 NGL8fit DOUBLE L__1 , <br /> FroDiarrer !tarn ' <br /> to <br /> m sn <br /> fr.ca fun erDLm. of I6- it, ft. .. <br /> ,. T and win of shoe m well •— -- <br /> -.r rPa win Sisref rx+d: <br /> Fins a .. <br /> x <br /> (T) PERFORATIONS: <br /> T7pe of pftddstmt mord <br /> sfEG of porforoom o..[m h $7, <br /> im a <br /> * F[pe71 . <br /> Fs. Frrf.per per ft- <br /> (8) CONSTRUCTIOM <br /> Vu a aurfut m%itar7 wW provided! (rt X4 ❑No To trims depsb it. I M <br /> ❑Ta ClNo If 7 "'UP Frt�,�if. <br /> were my seeaq roared a`aimrr Pdlnriom? a,mer depsh of s=e.�a .. "� 1 ~ i eL'i �`✓ <br /> iT>i M f,. .Q... ft. .. .- <br /> Merhod of Sp—lim <br /> k- C., Z <br /> +'4 pori.atarr�d' r9 r fi0AaeleTet "`•� l9 <br /> f (9) WATER LEVELS: g7ELL DRIELER'S STATEMENT: <br /> Tbn nrll was drilled under fty fr:rjr,fir inn m.1 ib;,rrpvrt is true to die beet of <br /> I` Depth at rhkb wrtee NNAInr hued k• pyy knowledge,and b � (� !r'}11(� {�!�+.! ^l <br /> •-'&Jana 1cvW brfon pcfm dna ft. NAS 71f i1... ER 4:,, N01"C l � *S'C; ;% II�I�.f <br /> f .aa krsl-atsar parforssia. ft. (t'rrsea, p�r�ei 'i vPr er prisiT/Tj . <br /> Address STOCrcTUN 5. CALIFORNIA <br /> (TO}:WL><L TESTSs - •_ <br /> i, <br /> 1 War a pump ren snide! ❑To No <br /> ff Yea,b7-ho.0 f <br /> i' Yield• Awl./clm.with • tait-dsw Jean nit" - rtGNEa <br /> Tmpnof raer WueAr :el madei ❑ Ya XW. Lice <br /> 7'-"--'----- <br /> woo <br /> .. <br /> rle=aria loi made mf wall! 0 Yes I�m <br /> e7el�r-er mu Qum A opo- Dwf4 iBB-i%gv,:'3'u) <br /> 4 <br /> l � k <br />