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.t <br /> :1 <br /> v <br /> y <br /> QUAIMPLICATE «;c <br /> STATE OF CALIFORNIA ,DO AOlflll lel . <br /> Use fa comply with <br /> _ <br /> focal requirementsTHE RESOURCES AGENCY + . <br /> I r DEPARTMENT OF WATER RESOURCES �`Q• 05 • "�� <br /> V..tirr..I lntrnt N... <br /> WATER WELL DRILLERS REPORT ;fate«-en <br /> 41 1'rnmt N..,.,r 1)..tr 80 l)thrr W.0\u. •�� - <br /> (! ) OWN <br /> ER: Name Maurice Vierra (12) WELL LOG: T.aat JrPth 2i1.DePIh•,!tr mpkte3.rail..._' L <br /> ! �� 'f 2_Wg_r��md fn•rn ft. t•1 ft. F.nm,.Nnn I n~rihr by n+ ,r. rharxtrr. sit,nr matMail' b' <br /> Adder,. _ ay <br /> (2) LO`�f TIO\�Oe�F� %'F.LL (Ste illslr,tt:tion,1: <br /> _ ay <br /> lJ aua,YJ�1 _ 9 _ t)anria'Fellzo\nmh.•r_ <br /> R'ril:u1Jrn.iF diHrn•nt Inmr aMwr• - ban - - <br /> F - - - <br /> IlMotty fnml ritira.naulw railn.a.k•lrn-1.etc <br /> i{ l <br /> 1- (3) TYPE OF n'ORK- ;.r... <br /> r V— 1X01 D.-awninc Q <br /> iIt <br /> 1 f� <br /> < � I F I .I j 1[�.riznntal t1'r1t L'' - <br /> 71, <br /> FFF � <br /> -Pnmm� - <br /> .Ae Enm in itemr,l'tl•.n <br /> 1 1^_ r <br /> (4) PROPOSED v <br /> � � 1, , lIMI115tOaI \C�� D A\• well cbrer was installed <br /> ;.thfs'well ;aad .1 am not res onsi.bl <br /> any alterfiii7arramav o t e L sea <br /> 1 WELL LOCATION SKKTCII \�/ tNher !n> ❑ <br /> .++ l3) EQVIP%IE\T: 15) GRAV'PU\FACF: \��� \�ri J .s. r .. - '' I <br /> I - r <br /> LT.fi <br /> H.xan � H.•ver.r {] 'c `.",8 Sim, <br /> \ 1 '.;i.c'...y�i�i' It <br /> t:ahle Air Q -`��'4. <br /> tllhrr {] fnxn_g,��'��p- <br /> CASING INSTAL.1_EI):! \ f>i lrl'F.RFS7HA71Q� \� \\ . <br /> Steel(] 1']asfir[ C•�I ,r T±'lw.•f t"SSr����i7u-Cnnza• rr..F scrrrn'�`� <br /> ' \ ' <br /> From TciDia. C•r t±r FrO�i\ t TIt <br /> ft <br /> -� A.WW <br /> 1 (9) WELL SEAL: — <br /> z \. - )r.. h <br /> \Cxr curfur sanit?R'-al Pnnidel? Srs❑ ' v If to dr I,t ft. <br /> \Fete strata sealed aimintt p.t1u6 ? Yn 11 Na Inte-Al— Yt. - '' �lS"r•� <br /> methrd .,I ar Ran Capt <br /> (!p) WATER LEVELS: WELL DRILLER'S STATEMEN'r: <br /> IN-p1h of Ret -Wrt• if krw-n It. Thfrrrrll u Iff.•d urulrr .9 jwr.,fkl—end fhb wI-rt n rmr�la /hear <br /> Stardinq k--1 alter well c--Plrtinn <br /> I1) WELL TESTS: a, Slt;Nev r � <br /> ��•a. Lw11 tt rn-ftr? Sec G N.,L9 If ± by aIs,m?' -{«'e11 Driller) <br /> 1-t !- j <br /> + T,Iw..I t-t I.—P L-3HaAer C31ur Ltt NAM Famero Weil Driiiina; It'le. <br /> 314i1f��im �3oels""R�dtral .- y:: <br /> lh•t+lh t•, a-utrr at ,tart rf Int —1. .-1It. At l Ira--It <br /> AJJrna_. <br /> �a[!min afire Jlm.rs \\'atrr tt mprramrr� � 7J'V <br /> 4 1)is.a.arCr, a as •� <br /> l Nn If ar,. hr ah..,? �-� <br /> Cl:e+ni••al analssi, ntuJr? Yn ] <br /> lt'u,rleir::h,r n+:dr.' 1•r.. (] Nn If an,.,ttach.,y+.+In thi• trl,.rt Lk.•nae <br /> No,--Dale n!ehis retwrt - --- <br /> ! OWR 789 .Rn.7.v61 IF ADDITIONAL SPACE IS NEEDED. USE NEXT CONSECUTIVELY NUMBERED FORM <br /> i - <br /> i <br /> ( <br /> i <br />