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r <br /> r <br /> r WATER SUPPLY WELL LOCATION SURVEY FORM <br /> POZO DE AGUA POSICION/ FORMA DE ENTREVISTA <br /> rSECOR International <br /> 3475 West Shaw Ave, Suite 104 <br /> r Fresno, California <br /> (559) 271-2650 <br />' October/Octubre 2004 <br /> Well Survey Site Address/Pozo de Sitio de Entre��vis��ta,,"" <br /> Street/Calle552-52L41 <br /> City/Cuidad D C <br /> State/Estado,Zip Code/C6digo Postal <br /> Ye No <br /> Ef " A water well is present on the property`s/Un pozo de agua estfi presente sobre la <br /> lie <br /> carac ristica(propiedad)9 <br /> Domeshc/Dnnlang water well/Pozo de agua Domestico/potable <br />' <br /> Agricultural/Landscape water well/Pozo de Agua agricola/paisaje <br /> Unknown/Desconocido <br /> Yes/ No <br />' FW = Is the well being used?/LPozo el es usado9 <br />' known,please provide well construction details/Si conocido,por favor summistre pozo detalles de <br /> construccidn <br /> r Date mstalled/Fecha mstalada <br /> Depth of well/Profundrdad de Pozo <br /> Casing Type/Tipo de Cubierta <br /> r <br /> Casing diameter/Difimetro de cubierta <br /> Screen mtervaVintervalo de pantalla <br /> rSurvey completed-by/Revisi6n completada por - - <br /> Name/Nombre Stephanie Furgal of SECOR for homeowner/busmess owner <br /> rSignature/Firma 4�g- L C, C"--1 <br /> rDate/Fecha (b <br /> r <br />