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Do Not Fill Ira <br /> DUPLICATE <br /> ATER WELL DRILLERS REPORT Nn ,78016 <br /> I - <br /> File Original,Duplicate and Itiplirate with the s,rr,w.,-a-c,�a;;•;077,Wat.r ca.f <br /> REGIONAL WATER POLLUTION Scs[e vCrll tie_— " " . <br /> STATE OF CALIFORNIA <br /> Other WdliQa_.;-.. <br /> CONTROL BQARD Na L Gf <br /> rl.rrrs.11maH.0 me,BnJ <br /> WELL LOG. <br /> (1) OWNER-. It. <br /> T, <br /> ms <br /> Drtr.rdr♦6 role•.Pharr.res,n:r o7..•rmas,a+J r errarr. - <br /> Addreis J L fr.ee d, s 6J - <br /> !t. C <br /> (2) LOCATION OF WELL- <br /> K.}_U..-M-1 reef\...•I j <br /> (3) TYPE OF WORK (cbeck): _ <br /> R<cond ] Ab3rtdon 9 <br /> Nc-welli Deepening [} i[son nF <br /> i(.l res(nn ores!.doer!x ruetr+Irl end prnrrdyrr in fit.11. <br /> (4) PROPOSED USE (ebeck):, (5) EQ[JIPM>rNT: <br /> Volan <br /> Domestic Industrial U �[unil ipal [� R <br /> Cable <br /> Irrigation F" "fest'%cl[ U Ocher ❑ Du¢Well ❑ �lL�,rJ1 M' u <br /> i --�1 A�r__�� ✓ ✓ ' wig'' <br /> I (6) CASING INSTALLED: if gravel packer' <br /> Y SINGLE{ DOUBLE <br /> 4'all of ever fr. ft. 'y,rsi: <br /> i From I,xa f,, M.- I : <br /> Q <br /> 1 <br /> 7epe rwd r,.e of,h««ee71 r,nt ./' 1 Svr o!rr.+el. .. •• ::.r:,' <br /> Fk � <br /> (7) PERFORATIOIJ3: <br /> _ T—of perforator,wad <br /> ..Ifnc[h,e7 7P. h <br /> Size e!perfert[,oea <br /> j DCC'.e1'1 !, Per! r•r R=r.Per fe. .. .. <br /> (8) CONSTRUG7ION: <br /> V. —f——4-17'•+1 P-ridvdi Yes ❑ Ne Yv,that Jt�th ^; <br /> mere enY rtnu aealwd apitut Pellauee? ❑ YnLt No If Yo.nate JeP'h el. <br /> From ft.ew re. 1 <br /> method of Seal g��_/J� fr L ! <br /> — WELL DRILLERS STATEJ[ENT: <br /> (9) WATER LEVELS; Thr,well a-es drilled ender+/jvrndlrtlon and this rtport is true to for best o{ } <br /> 1' weyAaowI d ren belief. I <br /> Drpafi ax'1,".ane.a Ern foo-11 .. f <br /> Saa„r'et Ir.ef'brierr pa!«a+int ,.,F4 <br /> J ,.tri < <br /> i <br /> 1 !s. G /�Sta,tdiw■lettl,altra pnlaratiwt +,idrrss S� F�:• ! rI <br /> i <br /> C Sl <br /> krL WELL TESTS: 4(I�) <br /> # . em male! ❑7e *:e [r Yes.M.M.,J / .. - ................................................... <br /> p--.-... ' <br /> _' Yrlds tel./m:e..ia6 ft.drams aero alter n _ ,, � 9l <br /> r. ♦ y �� <br /> Tetaperatwr ' /` 1 <br /> of.ate• <br /> raa.efirwtiaE•r.ast+re mads ❑ Yea �".. N. <br /> License NoF'r... ...-:� ��d-- -�-� Datedl.... <br /> �a e'eett;e lot w,edr of.d17 ❑Yn �Ne <br /> seas.-n wst atn!a taro OWR 188 rxt[v.sacs <br /> 1 <br /> I A <br />