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41KML i31J1Kltl lU ='J �—fgLfV 1 u1 1 1 14 -40 NO .U12 V .�U/l <br /> Do Not Flit 7n <br /> GTATC OF CAL,ITORNIA <br /> THE RESOUftC96 AGr_NcY ATO 7 13. •: <br /> �etvenu IMPARTMENT OF WATER RESOURCES wh I +JA1` �;` <br /> hto vrlth�vl R WATER WELL DRILLERS REPORT Other <br /> W4 No 1 <br /> Otltcr 1Yrt111Va <br /> } OW R. (it) WELL LOGL qq <br /> ' 3 fr• A A OF r+,.r lead well <br /> Ifl3C , Ter al deers, , <br /> Idr(sss tr�...adnn� pr:nrLr M�r,.lr,r8nrclr•,rL of r.rtr►krl,rdrJ rhret.n <br /> fr,re it. <br /> LOC 'PION 'WELL: � <br /> er i nvrobtr.if any <br /> ,tante Irum cit:n,sada,ra.lroade,atc. � Il <br /> + +► <br /> } TYPE OP RK (cberk): �� <br /> 4 wC11 Atcpenie� ❑ Rtconditionins © I)eltto�ing <br /> drerourtfrnt,dereribr o4teriol on,(brorrdar"iw lune 11. ~" <br /> �) <br /> PROPOSED USE (Cbeck): (s) EQUIPMENT: <br /> omestic I�naustrial ❑ Municipal ❑ Rotw <br /> Tigation ❑ Test Well [] Other ❑ Cable ❑ <br /> Ocher - r.. <br /> ;} CASING INSTALLED) ` <br /> areEl orHRar If gravel packed i <br /> ,NQLK P4u61 R r� <br /> Gast Diamcscr <br /> Fraini'v '` or of Prom To <br /> Diem. Wall Bort ft. fr. <br /> i <br /> ,r ul.I+nr..r wdl i c7I Siu of erarcF: ' <br /> AY - <br /> 7) PERFORATIONS OR SCREENI <br /> Y r•.r oerlorrlio.�ur wa.we of icrror <br /> Ptrf. Rows -- — <br /> Fro,tt To per per $1re <br /> (r. ft, row ft. in.x in. Post-it'Fax Note 7$71 aase U vel <br /> To From <br /> Co Q Co. �� J J '• <br /> Phone p Phone a <br /> Fnx# Fax a <br /> s <br /> RLfC'I'ION:} GQNST ` <br /> V. a To Aw Jrrt% <br /> 1 ..,r Iludcrl Ye <br /> Na IF 7rt,neer di rA !atrro <br /> rs.d r , i <br /> tW� fa.1io fd. <br /> rrwn [o w te. 671 <br /> doMDER' <br /> 1 Coe, laird U , <br /> IF r <br /> YVTE NT:Mdrr ary jarixdi�N •nd [ rrpprt it lrurWATER LFVEM o/ f. <br /> u+th a whtd wrwr rad firm loved it born NA <br /> Nrmdin Irwl brlurr lon.i.. a knarn la. <br /> I <br /> or orporatiae) r rI ur rlr t!) <br /> swulin Ind alar rr[rrnlw and dwd` :e - Ir. <br /> (10) WEU.'TESTS: Addrm <br /> i <br /> VE'a. v,v vas rvadar Yea❑ Nu if fN b trbeml ' <br /> !d; :.l.lm��wlsla l+.dr wJora rfur hn, SIGxEL] rt; � <br /> wa,ar Was a ehdaeler�aaal a1+IYLW.l Yd C3 No <br /> 9ru i1.e Er+e W w,+dr of retk) Yrr N. —L •+a ueats - ,Li[lrlae,No --f�bared� <br /> I SKETCH LOCATION OF WELL ON REVERSE SIDE <br /> A � r0179-ee0 v-p e=Y 711E1 9 OV <br />