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w 1 z r <br /> si <br /> tt <br /> - lTA7[,DFCALIFORNIA <br /> r F f .. - Tl'fE RESOURCES-AGENCY i DO tN1� I <br /> v Df PARTMENT OF'WATER RESQLJRGES NO 247092}. <br /> WA'F'ER WELL.DRILLERS REPORT sc,t:weir;h L <br /> r <br /> i <br /> ��ed�AklmkAFO. � r '• <br /> v {=r P4 i 1e OWer Weli Vo y <br /> 1J _ <br /> f l)'aWNEIt Hat i5' fE3LSL Htit PSC (12)4 WELL Loc. Tnt¢i men?Z L n�,t,t r' r rt l�a`:rriL?� <br /> g� �►t��+}��Yr. L� P <br /> i ! ".r.F < Lx ,..:-Its•= M7Jil1'LLtr. `�' fsnm h to - <br /> I -7ilre-- -ft.l F6msatinn (DescriLe-hy aitnr stssracler size r'aI¢terial) <br /> (.v]]� OFTwo: <br /> 13011 <br /> iC F n T's ' Sand..,''(.SCC trT1C�011T� r(��� <br /> f y v Ow111[3 Heil Atlmi/tn Vires i Mb ! <br /> If 'WansiBdisr 11�di3e+estt Fmtn a � `' ' > _ _ Q'r.��'ya Ort av: ,, .�A � <br /> -.- _ <br /> I DLtmn'llwa< :.r�oRd#+.r�ii/hr�►�d+'F�easc+'j�cec +SQu I 'Bid e-`of � <br />{ 'A Y. <br /> f � �- <br /> ;TYFI;.OF:WORKS 7777777 <br /> l "�h ':+"` � � ��� t'": �z hew Weil� UeaPeniMi❑ s`� s <br /> .., j�.c� e lAtrontlnsetina'- rj <br /> t rF�"'fi*q � ` r y lietvrldlliOnlnt( ';❑ � - a !`r <br /> — <br />{ <br /> C7 <br /> Hntiwa61 Well; <br /> ` and <br /> (4),PROPOSED USE, <br /> r <br /> Dc <br /> See: �. <br /> I y_< f , J kfuaie,pal p <br /> xfT.W�I LOCATIDN.;S>rS7ClF. <br /> Other." ❑ - <br /> (31 SQO M6NTt ft t 18)r GRAVEL VAG[s i - <br /> - Ravene:© `Xa$ Ib p <br /> Cable []' r t ;r Air <br /> 8crtlrer',:.;❑ - Picked from ,_po'*T�:_.:lG - _ - - r.::. i!.�%- .. <br />{ (7) CASINGNWALLF�t' <br /> Y i8) >PERFi]M17ONSs: <br /> Sleel Q i.Plastte�i r-�4R'� Type ssf ptnforatlm or be of semen <br /> From To Dill. Cage or From To :,Stu• _ f <br /> i fo ' "s� ;rin ' .'Wt;1I fL _ r rr <br /> 777 <br /> r_ m f <br /> i <br /> Was surfaca rrnAtary'real PrrnAded7 I'm .Nu ❑,-If jm_'tu depth 2A t. <br /> We:e'athta: !salad ¢gaunt pu)lutwai• "XeA ❑ lntenai_ _ E`•. _ - <br /> Alethsd Work ata • ,15 Compl ' 18 <br /> E (10WATERLVYE ` NvEFIASTATEMENT.RILLERSx t r jtr <br /> 4 <br /> - - !his sce![ was drehet.ender-my turndirtion and fluxrgrrort u,true to the hest n/rntf <br /> I Staodint[•lr+rei after Brei!c Pirliors kwmlydge and Iteiirt _• i <br /> (11);S WF•LL;.TlaSISr SIG. <br /> Was +red ICA't madr - Yes Q;� Vo .-!F y'es. hY wlr.rm? {Wel! r7/� <br /> at lent Pump C Baer p,. Asr lift ��tE.._E TiI�TF+��'1 ----GS. D1`i�I.i, i� y{J. <br /> Depth [o venter At-Atart of Ira .-..Ft. - ..' -At, d,n(-tW K {Pennn,firm,or cGrporatiucJ (Typed or printed) <br /> l/mea after <br /> r n atrr-temPeratut�_ Add l ALL AME <br /> CheetrMl'asulysu rnade3 Yes ;' _\GJ`if yn{hy wbwn? <br />' W¢s'elec4ia Tnt made?' Y!s Q:: 10 if)M.anarh�_vy to this m-1 t License\n. 2�vaa r Date of this rePnr[,.,�SG <br /> i7WR 188+nem »ctR IP A613 ANAL SPACE IS-NEEDED. USE NEXT-CONSECUTIVELY Nl1Mi3EREO FORM <br /> - _ <br /> ..... .� <br />