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ORIGINAL STATE OF CALIFORNU u — a r <br /> File With DWR WELL COMPLETION REPORT e / M <br /> % <br /> ]ra a__j of Rater to lnstructro�a Pawphjet STA7t WELL,NO 1STATIQN 90. <br /> g 1 <br /> Owner's Well Na I No. r� <br /> 03/17/9 03/20/97 55332 2 u►TITDOE LONGtrUM1o4 <br /> Date Work Began , 1?(lded <br /> Local Permit Agent <br /> Permit No 155 Permit Date •IAF 'EL <br /> GEOLOCIC LOG .WX4L OWNER <br /> ORIENTATION ('�) x VEAnM -NO)UONTAL -ANOtE -(WEMM NQ=C `Mdaringr1A's Water Systems, Inc. <br />' _ DEYTIT TO FhiSr WATER (FL)WWW SIIRI:ACE M"Ing Addr� Z2_tk- (nL ICQX Rd o P� DESCRIPTION lStockt n CA 9521 <br /> FL to F! Dexasbr!!t! rra Ilr= afar,em ` } WELLC bOCATION STAT$ 7w <br /> = 5 'Soi ` ' ' Address 2.�$ 'W. HWY 4 . <br /> S <br /> i13 ' C1 - _ - s may= St oc It <br /> 13 :35 <br /> COM y_San 13° atful n <br /> t� <br /> 35 ; 40. ; Fine Sand <br /> -;� ' CPN Book. L,Page Parcel <br /> 40 _; 42 =Sand BdU�x ._ - T 42 nsKiV Raagc Section <br /> SO 57 Bide Sand - , . 4l�atittcde oW ' MnL SEC, °�Ca`—" Long>tude o uut SEC- '" <br /> LOCATIU t SKETCH ACTIVIT•T (✓) <br /> 1 Texua C <br /> javi z ' s t %:. ` NORTH ...�I1E1q trELL <br /> I 59 '65 ' SAfld, MOORCATMIsEP M <br /> 65 : 105 ;8Iue C aif- �Oaepen <br /> 1 1 ; <br /> _OrAw(SPaeDy) <br /> 5 <br /> � � 1 `� __._DE:sTElarinaaar�r <br /> &jILA NIRD USX(S) <br /> 1 l 1 <br /> all .9c (111o14r)nrlx� <br /> 1 1 <br /> i 1 WA7M at1FptY <br /> A �OIIle7l�C <br /> { 1 <br />' r 1 T. PIInRa � <br /> t 1 � 11►calHoa <br /> 1 r <br /> ..,_..lyduatrial <br /> MT WELL <br /> 1 <br /> 1 1 _6ATf%=C encr EG <br /> 1 1 scum i Mori <br /> 111wirate or Uezrrdw DdJVIIJ�fratonao of wadi frarn Lmrdmarb O71im L5pocsy) <br /> ' ' YEA 29 )3 CUAIAT G fr Fen=CsZilf"aPZ f <br /> r e �l <br /> 1 1 D)AEmon ROTARY -- FLUID } T'" <br /> = WATER .LEVET. & YIELD OF COMPLETED WELL <br /> DEFIN OF= 1 ATtC <br /> WATER LLEV�l L___12 (FQ &DATE MEASURED <br /> 1 , <br />' ESTIMATED MELD' (GPM) &TEST TYPE <br /> 'DOTAL 136p H OF HOSING 105 {Feet} TEST LENGTH Oita) 'TOTAL DRAWDOWN JFL) <br /> TOTAL DEPTH OF COMPISM W911 58 (Feet) •May ant be mpresmtatwe of a gvvQ1r fang-term Ndd. <br />' OEPTHGA5IMG(S} DEPTH <br /> ANN'VL1R MATERIAL <br /> FROM SURFACE 8 HOLE TYPEtzn FROM SURFACE Type <br /> Dlp MItATFEIIAL! INTEANAL GAUGE: SLOT SIZE CE• BEtt <br /> (mems) � c� � GRADE INAMETER OR WALL IF ANY FILTER PACK <br /> FI to F1 c/ (Inches) TIiCI[NEEIS ((Ilgra�) FI to Ft MAENT MMIMI FILL <br />' 0 41 18 PLASTIC 6 364 0 24 X <br /> 47 58 045 24 ' 58 <br /> 1 <br /> 1 r <br /> 1 1 1 <br /> 1 , <br /> 1 , <br /> ATTACHMENTS (i) CERTIFIC;ATION STATEMENT <br />' apalop(o Lao 1,the undersigned,certlh that this report ra comp(ote and accurate Mn the deaf of my Mmawledga and bekef <br /> —wou Co"trwfon Dlawma NAAW <br /> w 4naPhYnlcnl 1pp(u OMDK,fEAL GI MW MI M)(ITKD DH PInN)EI)) <br />' INC- <br /> - SOI1tWsIarCllarncdAnlrlYNi rst Rd At1DRES swif zr <br /> Other <br /> ATTACH AOM OVAL INFOMMT7l7AL IF)r FYWM 8Myned ER ED A WITS SGiMEO7 <br /> IRAMRFH <br />' Dwll18SHEY Tao IF ADOMONAL SPACE IS NEEDED. USE NMff CONSECUTIVELY NUMBERED FORM <br />