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QUADRUPLICATE
<br /> Lrso to tamely with STATE OF G1,.IFORNIA Do nu!fill In
<br /> j ) Uentoco irlywts THE RESOURCL5 AGENCY ��..J� n�¢ t _�
<br /> I DEPARTMENT OF WATER RESOURCES 1
<br /> 1«+4627 WATER WELL DRILLERS REPORT .---'--
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<br /> i,L"rrt rrn,ril .�.,...r r,,rlr._-_17=�4U3 W rhl.rr tc,•!I.\.•_�_.�...__�..--.-_.. _.-� ;
<br /> NVELL LOG: a•LJ.hI,•hht 1hq.lh h
<br /> t),•a, ......t.lrrr.t..rlt.Z
<br /> __ad fe u.
<br /> 16376 `i+f�T 1�t � `(_Ir r. ft. V-nt-rr
<br /> , .�n nlw ren .,,2..r. , .�ro-,
<br /> toy. . ur m,rlrfG �• l
<br /> h1r•.._ - _..--._--. _-_
<br /> 1l'I( \ of Nvl•:I.L ,tif4•uf�ln,rlir.,.,a -*t - — "-• i
<br /> iin yosovin :, W,It N,.,,+. ------- 9 -�111 bLowu etayi
<br /> +,Alr+r.:rin..it dillrrc,.t f n:m aMn'r—_ -.----- - ---��- -.
<br /> ly.w mf --_ _._ _ �-_____- S 2 brittl -
<br /> _ �� d Mile north i �2--7,e
<br /> JIm riLre.nwJ..ndmnJ..!rn,r,,rtc. b&vvlt� 16.197
<br /> Lone Tree lto�ad .nd %4 mile .past 1 -
<br /> -of�ack Tone Kcd -- '�� 5111a 9HO
<br /> gravel
<br /> SX150 a
<br /> 132 :24V ICU=
<br /> ' N- %%'rll ya Ih•rP rine L —14110 - 4 IS ~
<br /> CLAY
<br /> \ ----
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<br /> r17rs.'riM• ry-
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<br /> dr,l nr,'I h.rr 1 1r•flnl. auJ '
<br /> t ,r...t.rr., to Ilan a.f y8- 248- �.
<br /> 1 r
<br /> (4) PROPOSED USE[ 1_ 248 , _ >_r__
<br /> , - Irdgati,n CT25A - . '
<br /> .164 :"Q brittle elity a Fra -t and
<br /> 7r,rSnstr(al (J pn y�.
<br /> Tet %VAT ❑ B��LTV sand -
<br /> 0
<br /> and❑
<br /> WELL LOCATION SKETCH (hhrr ❑
<br /> �k--gr, u
<br /> (3) EOUIV%IE\'T: ((l) GRAVEL PA=-. -
<br /> Rnt�rY r Ite."w ❑ Yn❑ N,K& Si-- _ f -
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<br /> Cahle IA A.r ❑ INAmNrr.4 f-w pbe -cat
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<br /> i i t -
<br /> - Othrr ❑ Rrr.•Irei ❑
<br /> CASLNG INSTALL IEDr r f N> PERFORATIONSi --i
<br /> Stasi ox Plastic❑ corlIeae(*c Tyr,.,(r+rffmati..n„>lir.,rf n:n•r'n - .-._ .
<br /> From To-,. Dia. Carve or From. Ta Slot l
<br /> ft- (t: in. Nall ft. ft. SE
<br /> 0 g, d, $ -
<br /> (g) WELL SEAL:
<br /> tt'a+-4I +anitary-al pm irlr<I? Yn fl 1.. ", 1f ,n.1�,.ienlh -It. „,•_,Y„
<br /> \\'err flnN .eate•r1 arealmT tw+lh,lwmr Yn(l Va !' Intrnal _II. - _
<br /> Ne•II.,d rd xaline-.,,_ -a 71-..rk .t.rned -1J�-- (:nmrlrtr x.19
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<br /> (10) WATER LEVELS: -- l WELL D111LL •K'S S'IAi*UE\7':
<br /> Depth fro lint water• IF krw-lk- .!to It. 1 Tni. urfl uar drilfrd u,td r ,era rurt.Ji.la.n ,rnrt lhr, rrr».rf 11 Ir- 1`11 the brat Of "It
<br /> Standinr Incl •leer%Itl.•nnnkei„n-.. �V___.-T..�. -fr. krwrulra[�r .err.f lrein-l.
<br /> i f I I) WELL TEST%-
<br /> 1 1Vas wrp tnt ma1r7 ,r-�
<br /> 11 7•ypr,•r t-1Pnrnp 1 IrarMr r j Ai: lat 1 1 { �•t r '
<br /> j fH^(+th Ir. w•rrr`r ne .rar1 �d 1.., 11- .1e rnl .d 1-11—11 I 11
<br /> •+1460� 1erlw,n. uurs,u..i • .1iCp4�.�,, �..r�.-,�Lrdl"�- -� E 11.ttrr trnn�rvh,rr-..�i •1Jdra•.,.. ••�4-"o.Qe i c -itfJ4Y —
<br /> lNarhs+rn. -.ral•mn, .,n",T__h..,n
<br /> t].emk'al anal— —1,? rr, t �.r t'i It , h, ,.1,.•n.• _w __,� t4 ily_��•{]���Et._--.., 7-
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<br /> tVa rl„<rir h.a nr.ulrr 1',+ f� �n fI .u,.h ,q.,�,.,1l.i. nr*•a 1-Rrn,e U>.,Y_- 7 Date r.t thr.erlw.rt� S
<br /> DWR lee .Nc-t.r-.. IF ADDITIONAL SPACE IS NEEC-ED. USE NCXT CONSGCUTWELY NUMBERED FORM ......,.+,-r........ "" f
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