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Site Address: 5828 Fairlane Rd, Acampo CA 95220 <br />Date: 4/8/2021 <br />PHOTO # 1 New Well. Grouted with 10.3 sand cement from 100f ft. <br />'A . i CALL 9 963.7 <br />4. n Rb <br />N NA" 1 APN <br />o g 'L_AI <br />MA"* 4- L <br />?�_ <br />-- FQ' r14vC 1217 <br />75---�0__ <br />C lav ---- <br />J67_ 14c sS <br />ke EurN�,ox, <br />iM9rEcrroNs �-s.w,wc�99xe-Iz.�I+99s,m <br />EXPIREs 7 Y"" "q M DATE I93M. <br />sPAcaMpo 95:;'a0 <br />�w,9 u.e NN9..�ON <br />:7- g <br />CA 5 <br />_ orvrs„rE� �--- <br />140 ISo S:J. yr1VPl <br />15c)— 000 —SS. / C l vy M ,� <br />c�GG—�GS Cl9y <br />mss- <br />0?50 §.5 . <br />a50 -_ �>Go C la Y� _--� <br />Francisco Garcia Ruiz, Environmental Health Asst. <br />Record ID: WP0041895 <br />Page 1 of 3 <br />