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I <br /> WATER SUPPLY WELL LOCATION SURVEY FORINT <br /> POZ.O DE AQUA POSICION/ FORMA DE ENTREVISTA <br /> SECOR International <br /> 3475 West Shaw Ave, Suite 104 <br /> Fresno, California <br /> (559)271-2650 <br /> October/Octubre 2004 <br />' Well Survey Site Address/Pozo de Sitio de Entrevista <br /> Street/Calle 2535f5 LL 1.4vi me <br />' City/Cuidad D QA- <br /> State/Estado,Zip Code/C6digo Postal 52 Z D <br /> e No <br /> A water well is present on the properly'9/Un pozo de ague esth presents sobre la <br /> lie caracteristica(propiedad) ? <br /> Domestic/Dnnlang water well/Pozo de agua Domestico/potable <br /> Agrnculturala andscape water well/Pozo de Agua agricola/paisale <br /> Unknown/Desconocido <br /> YVs/A No <br /> D# = Is the well being used?/LPozo el es usado? <br />' If known,please provide well construction details/Si conocido,por favor summrstre pozo detalles de <br /> construcci6n <br />' Date mstalled/Fecha instalada- <br /> Depth of well/Profundzdad de Pozo <br /> Casing Type/Tipo de Cubierta <br />' Casing diameter/Difimetro de cubierta <br /> Screen mtervalllntervalo de pantalla <br />' Survey completed by/Revisi6n completada por <br /> Name/Nombre S hanie Furgal of SECOR for hom owner/busmess owner <br /> Signature/Firma <br /> Date/Fecha i 6 <br /> 1 <br />