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1 f � Y <br /> ORIGINAL. STATE OF C.t1.1FOut.rr. U Y - is t t <br /> FIle with DWR !1 WELL CpMPLETION REPORT 0 0 <br /> page;J,_,,,,of 3!—�y��.� `+�� �"� ""'� Refer to fnr/rucitan PaMghiers BYAt�WE NOJSTATiON No. <br /> 11 <br />' Owner's Well No7ww- No O n E]Ell=11 <br /> Date Work Began A 2" t 3 InZ , Ended _ r.��� 'Z#-901 f► � umuM Lowm e <br /> Lam Permit Agency _SFW .qv0%4v1 A C67^3td•�aJ q �'}�( <br />' Permit Na ,2_i£3S- Permit nate -7-1 -IL w_ LJ7� APNAWQTHER <br /> ♦ <br /> GEOLOGIC LOG WELL OWNER <br /> ORIENTATION (1) �vttaTlcttt _ NOROMWAL —ANGLE —P rEaFy) NameS76C1C7W 'fE�+tt+vR1L.s 'T 41 I[k_ �C+stPRf•[G1= <br /> v. cr '"talar f;i7t ra ta�+a rs GV <br />' oEFTH FROM DEF TO RMwATBA (FL) ffi7.OVP SURFACE I1+IaiUng Add[tss -- <br /> StmFnGE b E S C R I PTI OI+) .J <br /> FI 't'o FL� Dambe . �calor+e.a WELL LOCATION <br /> CITY STATE ap <br /> 7 W- 1-4 PS l-Zea A,ddres <br /> } W ' City ,x <br /> wc,t s - County tJ trs <br /> w> r.r. PAtR APN Book Page l�reel <br /> Ct '"fr,� Ia+L�"J►" ToatrrLvhll T t <br /> p Ratlgts gfi_E-_Section 8. 9 11 18 . <br /> w aa_ a latitude t-- _ NtltttN Long ttudc wEsx <br /> t t P.I' Ne1ts<.tal t7Eti MIN. SEC. itW BEC, <br /> ' W WEu- 6OCAT ATSKETCH h,CTIVITY(✓)_ <br /> �/ <br /> Nsw WELL <br /> t � t t�/Ln� � 1My�l.V� ttOQIIYCATinNlAgpAlH <br /> _^Olhar{t)paaly) <br /> t . <br /> � ' Arecsdotsese,ctAlefrrkis <br /> ' ' rleder"GLrp6i76�GL8tt'7 <br /> PLANNED USE($)- <br /> ! i J l r ,f)1r i -�= x; 3 w _._ IAL 1TORM <br /> wATi:rt suppLY <br /> i <br /> –w f50ttetStlO <br /> ire :i• r F a 'J (` _ itrEnrapoe <br /> QnQostrlar <br /> _ <br /> 'MST WELL' <br /> ' ' `• - _,,,_. <br /> CATHODIC FRO7EG• <br /> Jltu■trats or naenbe DWanrawnf Wel!from L andmarkr OYHNER(Snwurl <br /> sach as am&.auddiap,Fences Riom etc <br /> PLEASR HE ACCURATE& COMPLEM <br /> • G t + rte_ , DRILLING <br />' t ■ _„ x' !j �fi/ (aiTtIL)D 4t.x.t.e:a,t !f' —Aw-NF^ ..FLUID - <br /> �' WATER LEVEL & YIELD Of COMLE'TED WELL <br /> r 1, •� r. r_x ' DEPTH OF=STATIC <br /> WATER LEVEL (Ft) &DATE MEASURED <br /> ESTIOAATFJ�YIELD' (GPM) G TEST TYPE <br />' TOTAL DEM OF HORING (Feek) TEST LENGTH (lira) TOTAL DRAWDOWN (FL) <br /> TOTAL, DErM OF COMPLLr'CLT) WELL (Vest) ;Afay not he repnmMm me of a uwflP Amg--tmre yield <br /> DEPTH CASINGIS) DEPTHANNULAR MATERI. L <br />' FROM SURFACE HOLE TYPE ./ FROM SURFACE TYPE <br /> 01A, x rjgffl MATERIALr DITERNAL GAUGE G WALL S 1F ANY OT EwrildCE­ Rf FILTETi PACK <br /> FL t0 Ft ( � Aeches) THICKNESS Get h") FL to Ft GRAM MENT N3TE FILL (TYPEISIZE) <br /> i r <br /> t t <br /> t i <br /> t � <br />' t � <br /> ATTACHMENTS (!) CERTIFICATION STAT£&tRNT• <br /> aeolaum Log I.the undersigned,ca ttlty that this report to cornplete and ac=ate to the best of my kaowledCe and bellel <br />' ✓w.0 Construction DFaWam Ir <br /> RVUCnn IIta -(TVIND ate t <br /> . �. tlsaphyMoat LoOial <br /> $ollJ Water CUamfGel Analysnts `CttT %wit <br /> Other <br /> fill A <br /> rrACH ADDIn WAL&*UgINt1MM AF IT EX19'TS. NEQ 8 R HTATIY6 QA Q A <br /> SE JAMBER <br /> 7-9D IF AO[MONAL SPACE 13 NEEDED. USE NEXT CONSECUTIVELY NUMBERED FORM � <br /> I t <br />