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I <br /> 1 <br />' WATER SUPPLY WELL LOCATION SURVEY FORM <br /> POZO DE AQUA POSICION/ FORMA DE ENTREVISTA <br />' SECOR International <br /> 3475 West Shaw Ave, Suite 104 <br /> Fresno, California <br /> I (559)271-2650 <br /> October/Octubre 2004 <br /> Well Survey Site Address/Pozo de Sitio de Entrevista q <br />' Street/Calle �J -7,5- 1--> E k W ! <br /> City/Cuidad p <br />' State/Estado, Zip Code/C6digo Postal <br /> XesjSi No <br /> A water well is present on the property9/Un pozo de agua estd presente sabre la <br /> . caracteristica(propiedad)9 <br /> 1 Domeshc/Drinking water well/Pozo de agua Domestico/potable <br /> Agricultural/Landscape water well/Pozo de Agua agricola/paisale <br />' Unknown/Desconocido <br /> Ye Si No <br />' Is the well being used?/LPozo el es usado? <br /> Eae provide well construction details/Si conocido,por favor summistre pozo detalles de <br />' construcci6n <br /> Date installed/Fecha i nstalada <br />' Depth of well/Profundidad de Pozo <br /> Casing Type/Tipo de Cubierta <br /> Casing diameter/Ditimetro de cubierta <br />' Screen interval/Intervaio de pantalla <br /> Survey completed by/Revisi6n completada por <br />' Name/Nombre SLcphanie Furg al of SECOR for homeowner/busmess owner <br /> ISignature/Firma <br /> Date/Fecha 6bq <br /> IL --j <br />