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I0JUG(NAL STATE OF CAMPOANIA <br /> .File with DWR WELL COMPLETION REPORT a f N � b � � 41 <br /> -A ! Defer to Inssreeeson Pampbles &TAW WELL NO Y$TAnm No <br /> r Page._--1_of <br /> Owner's Well No. Wbz1? No• 476173 ❑ ❑ <br /> Date Work Liegan 1.2 W_ a UITIIt1DE LONenuDs <br /> Local Peanut Agency Seca " ,w G'Oun7R,i A 7/7, ��.,l2 S` <br /> Permit No O 1 a 93Permtt Date + <br /> GEOLOGIC LOC ` vII,ELL 0 NEE <br /> ORIENTATION {!) XLHOMEONrAL —ANGLE —fer'EO" Na rag , L.OA*, <br /> . <br /> RM TO M W&TEB (It)MD;V SMACE Mai 1n*d Address Q• d <br /> us <br /> n 13 SCRIPTION �t t �� a <br /> Ft to Fl I?escrfb.<�era>(el,Lrarn rFu,calm,etc. X� ` ' + e z W SI,Iy T. CATION <br /> STAVE ziP <br /> e <br /> AOZ <br /> ' 1 ` ~ R ti�+�Glltlt� r I ii <br /> 1 i _` J. <br /> 4 <br /> •' , _ •' APi�Book ' • Page Parcel <br /> of <br /> !e✓ � a - � To. �,��L Range.�Sco#inn / <br /> / v Lttttfvdd_ X71 571 �KoaTlr Lotigmide /��i a W <br /> DE MOL sEc. 4EQ IMt7r. SEG J <br /> I <, t ` ." ' • LOCATIONN SKITCH ACTIVITY <br /> ORT" (�) <br /> 1 i• , ' � ,',` �� Nwusl/ �Aa1�y vT ov?�, ,�- r�a��j; ___.rra+r wa=. <br /> De.pell <br /> i 4I o 3r �J, _ _other(spec*) <br /> T � 9 <br /> � �-; ` a 1 � r ✓ry � tnrttar rcEiO�G 7 <br /> PLANNED USE(S) <br /> Y � , p � MONTfOflWL� <br /> 1 Q WATER SLIMY <br /> r <br /> d . <br /> �] �� Ogleeglta <br /> = l <br /> �� FnhltY <br /> 1 <br /> e i � .� Ireigaatla <br /> 1 l <br /> 1 i A <br /> _...,„„ Fxdwhml <br /> CATtlMc FROZE('. <br /> 1 SOUTH 1143N <br /> Mmcrn[e or Describe Dttianee of Wet!fros" <br /> m and nf� _.07NF33 Shp J1 <br /> i 1 arch ar hoods,nt dtllgr,Fanta;Afta a.air- <br /> PULSE BE ACCURATE&COMFLETB. <br /> 1 I <br /> ME HODO � FLRA) <br /> WATER LMFEL A YIELD OF COMPLETED WELL <br /> REM OF STATIC <br /> WATER LEVEL (Ft.) d DATE WASURED <br /> i 1 MMATED Y[ELDt (GPM)0 TEST TYPE: <br />' 'TOTAL DF.1'TH OF B RWC. _(Deet) TEST LENGSH (Hra) TOTAL DRAWBOWN OR) <br /> TOTAL WMI OF COWLETED W9M (heel) •May nat be rekrererrttutve of o wall5r loft-terns yield- <br /> DEPTH CAS[NG{5] DEPTHANNULAR MATERIAL <br /> FROM SURFACE HOLE TYPE ✓ FROM smr-ACE TYPE <br /> DIA. ,e MA7E1TALI IMERNAL GAUGE SLOT SIZE <br /> F; to Ft _ <br /> paallae) ' GRADE D(�a) THICIWFSa cachet) Ft to Fi {M 10NRE CF71� !8� <br /> ' 1 <br /> � 1 <br /> 1 1 <br /> 1 <br /> 1 i <br /> i f <br /> 1 i <br /> 1 <br /> IL <br /> ATTACHMENTS (!) CERTIFICATION STATEMENT <br /> centamft Loa 1,the und/eerraigfaed,certify that this rrapert to complete and accurate to tthee best of my kuourladee and belief. <br /> Won Coardawonotagram NAME _r✓!lI Qi✓��� r -_ J'" aar�a i4� G <br /> (Pf8W FIRM a3 CD�POalQiOlq OR PRLMM) WJWA.ry��/ee. <br /> (�opll�lsdaal Lg9W <br /> SoPiWatar Chemical Aealyeea F C s 7 f vet✓ r tS / <br /> 1 _ AWRM CITY ,TATs aP <br /> Omer <br /> ATrAr.H AOt MoNAL INFORMATIM JF tr W=T8 9danad <br /> Wf 91 tL ISENTOWE DAW 8 GMM G07 urdfu Rui9w] <br />' UWKMOREYT-0a IF ADDMONAL SPACE IS WECDED. USE mEXT come UTIV!].Y NUMBERED FORM <br />