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Allo IAIAL WATER WELL DRILLERS REPORT Do Not Fill I'm <br /> ���� 2,� <br /> rile Original,Deplleale and Triplicate with the (S-ettant 7274,Tan,7073,tiravar cod.) <br /> 64 <br /> -REGIONAL WATER POLIU7XON Stats Welk No. �' �` L, <br /> • STATE OF CALIFORNIA '�'�� •- <br /> CONl°ROXr BOARD No, � f Other�7d1 lion.'s�tJat__ <br /> (101-11 apbrolrfela nambrr) <br /> 1) OWNER. (11) WELL LOG: <br /> Name Ed Hicks Total depth it Depth of nampletea well 327 --- h <br /> Address NOr9 e Rd &r .H11rV f�`f Fatmtrlpa Dn+rli-dry evkr,ebvrrlrr.1173 o/atrlerltl,-td rlrxtarr <br /> s+ 1, to frsurfaaft <br /> jAdi t 0 liferni k 01 <br /> gy <br /> (2) LOCATION OR WELL: �8 Sand -- <br /> carat, <br /> Ban J ower,auarher,f4 asp-• « Cl <br /> 1L F D at Ser«t No s <br /> B.W,R__Oa=ar Kamm , Rd &--ULVY 99AY <br /> T Q <br /> 10 Parakad gaud <br /> 710 1"1 ney <br /> (3) TYPE OF WORN. (check): " <br /> New wall lx Deepening ❑ Rtcondttionsrta ❑ Abandon [I Ary <br /> jubandonmeal,describe materialdrsd precedstmialsexM _ 801� � •C��� <br /> (4) PROPOSED USE (check)'._ (S) EQUIPMENT: _112—• 119 Sand Smal GIMaYa . <br /> pome3uc Industrial ❑ Municipal �] Rotary ] <br /> Irrigation ❑ Test Wel#. j] Other 13 Cable ❑ <br /> Du Well ❑ <br /> (d) CASING INSTALLED: If gravel packed y <br /> 41N�Lt d011BLn ❑ GW <br /> of Munster froat to <br /> Flom it to fa Vim V.0 auto ft it <br /> Plus 1t--e 10 12 , <br /> Type end time at tier er well ring she of trsvalt <br /> I7ese2112e joint <br /> (7) PERFORATIONS. <br /> ►T <br /> T"v of perforator used None �• <br /> Sl7.e of rtata as in,k-Irth.brfp <br /> Fr= ft to it Perf per fee Rnwa per ft. « « <br /> u <br /> (S) CONSTRUCTION: <br /> WAS a S"fam notary 4821 Pravidad? ❑To No To what depth fie ...' r. <br /> O/err am•creta sealed Kd2te polltrim2? ❑Yu 1.7 No lists,nose depth of strut <br /> FM n fr rp ft <br /> I <br /> McClltld of Joealuxg 1960. Complatad -12*• 19 <br /> I <br /> (9) WA'T'ER LEVELS: WELL 13RILLEWS STATEMENT- <br /> This tort/wits drllled uadtr a y fxrlsdref-ox mrd Mrs report ss true to the bell of <br /> De7th at which Visit wav Gott fetrtd � It my knowledge soft befArf <br /> staedios level before 9erforatin3 it NAME SAN tFOAVIN- PUMP COMPANY _ <br /> ANWkn2 larval after paforattna - It (Penes,Gest,ar corpw.hea) ---(Typed er bnafe i <br /> Address f l <br /> WELL TPSTS L a1 i f <br /> Was a pump tett made? ❑Tee i No If 70,by whom? <br /> Yttlde sal/meld with it draw down after [$tr1N>aD] '— <br /> ' Aelil1r11Yrr <br /> Tetarrstwo of Vegas, wet a okermal MAdysis made? El Ya 0 No License 74DatedDated ~� —r <br /> vat eltctrre lo3 male of Veit? ❑Yu ❑Ne 170:2 2-57 Soar ostia A sro � SWR 288(llev 2 cal <br />