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Site Address: 5828 Fairlane Rd, Acampo CA 95220 Record ID: WP0041895 <br /> Date: 4/8/2021 <br /> PHOTO# 1 New Well. Grouted with 10.3 sand cement from 100f ft. <br /> Jw AmR.1.,-� CALL 9 96}7997 fOI''MfAECTrT 4 TO1AK '3'-- <br /> CA <br /> +v.s*MeeT' G 4 n p EXPIRES 1 YEAR.a. IMI+1.�9�J��.�m <br /> NA., J5 <br /> 1 Qn2 AM FA:7.?o Is3uE <br /> E9 UJS 3¢E. a PO 95�a0 3 <br /> cl--R: a- L t Y I <br /> CAy131RWtIM1._ C A <br /> " ftft.. <br /> A c S+� <br /> Q91 --5--- -----------�-. 5 <br /> Co - <br /> 7o I;% <br /> 1 NEN <br /> JOA <br /> CU <br /> WORKeCky <br /> rr� <br /> G <br /> ss . <br /> _�I-U - (SG S.S. 5r9vPI <br /> So= X00 S.S. - <br /> - - <br /> --GG-_ — C I9 V - ._- <br /> S- aso <br /> Al - ---- <br /> -- -- <br /> calve -- -- <br /> PE <br /> Cod <br /> EMS <br /> Francisco Garcia Ruiz, Environmental Health Asst. Page 1 of 3 <br />