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0AGINAL 9TAVK Or CALIFORNIA DO not f[U in <br /> THE RESOURCES AGENCY I1� 185785 <br /> 1 O <br /> Fila th ovm ]DEPARTMENT OF WATER RESOURCES No. 18 5 7 S 5 <br /> of I Nc, WATER WELL DRMLERS REPORT Strata Avon No <br /> It No.or � -� Othex lVdl Na'"/f+� i� <br /> (1) OWNER: N L (12) WELL LOG. Tbdd , .. �Davtu mnpiatad <br />' 111lik fiv- ft. to f. Formation (Demnhe by aoiar, cbaracter, shm ar materml) <br /> Am <br /> (:Ity <br /> (2) L X. (See sestructlons) <br /> County Ownar's won Nwnber <br /> Nven adorem if dm mem f=m a NX <br /> r <br /> Tmvnsh est <br /> Distance fmmn u0mads,fueeas, EM <br /> — ` <br /> S (3) TYPE OF WORKS <br />' 6 <br /> Now w-X Dmpenia8 ❑ <br /> 11 a 1211 clenn 0 <br /> Recaodltfoaiag Q � - <br /> 1 Hosfaamal Wall p <br /> Destse+dfoma❑ (Ilue"6e <br /> RlOead14ee IA 1�9C� � C <br /> (4) PROVOSED $FF ) <br /> Dcrmaat3c \ <br /> j..p raa,�try.t El i <br /> fJ won ❑ f ' <br /> -t <br /> w <br /> rive, /P5fnnla i^ <br /> 14%" LOCATION S>CTs l 'L soar {' <br /> f5) MQUI"E'NTi (t)) AM � � — <br /> Rotary CJ Hsvemse E l ;6 Ido 3 '� <br /> CA6te p Air 0 of — <br /> Other <br /> t (7) CASAVG 19ftALLMO `�' ($, PF.1tPaRA : s <br /> Steel ❑ I+Iaste T ..& of se <br /> er e teea <br /> �N <br />' ft <br /> ft( Dinia ell Ei» j <br /> ♦�. jrld <br />' (9) WELL MALWas avxI sanitary real provided? Yes No f7 If yam,to <br /> Weae strata sealed agahmt oRntua Yes No C} <br />' m,%.d nE sd Wash L8 Ca�D& r <br /> (IQ) WATER LEVELS. WELL DMLLERI STATEMENT <br /> Depth of Ant Water, if wan wagd.9Wf tender >„v vatsdAWma end th r myon is[rave to eLs best of WV <br /> Stsndfau InvnL OW well eoIDB <br /> was vmu tact mean? Yes 0 No ge IL yes,by hm-e— <br /> Type <br /> Dear <br /> 4=t Pump C3 Batter❑ Air DR[j <br /> Dmth�to water at a taste__ _Tt At and of N �(I' 2+s yr aoxporatl [TYpnd <br /> ^am 4.t�mfq ntbm r Jwu= Water temperas <br />' t anabq&main? Yes 0 No❑ If Yes, by wbM �� 7 <br /> IvK made? Yes 0 No Cf If yes attach copy t4 this mmert L{cestra NO-5Z to of tbfx <br /> own Tats 4rriv 7 re) IF ADDITIONAL..SPACE IS NEEDfiD. USE r4EXT CONSECUTI%ELY NUMBERED FORM <br />