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r�' <br /> l ORIGINAL WATER WELL DRI im' REPORT Da Nas Fill Ix <br /> Ells Original,Duplicate and Tripllcets with the c&cdew 7074.7677.7#71.V.[ar coda) N U 55231 <br /> XiGIONAL WATER POLLUTION <br /> STATE OF CALIFORNIA <br /> CONTROL SQARb N - �6�, ,f OSliduerW�Na...,.,-. _.._._._.._. ......_.....:.. <br /> Welt>\la_ . .......---....--•-•--•--.-- <br /> ' � '+reef afbrebrlelr aan8er} - <br /> I <br /> 1)!'WELL LOG: <br /> Name Taal deprh/>*e 6� fr. Deafb aY o mplered well 0'01"20"546 !' <br /> Address Forma[ien[Dow&by Mier,obearhr,liar of#[•f[rld.A"r)+.re.re, <br /> r (2) L TION OF WLL . <br /> 1 Covmy owner'a.v.4ber.it aa.y.• <br /> JL F.D,aeS <br /> L�C.t <br /> i .e ..P►G'�„ <br /> ► ., + . <br /> (3) TYPE OF WORK (check): <br /> Nea mel] Deepening ❑ Recar[dldman$ ❑ Abandon ❑ ZAw <br /> -c- <br /> r rear <br /> l 1. <br /> OM t <br /> � I}abaado7lmnrt,deer fbr maferfel end yrvc d r i+f _ ���" �!.•q. <br /> (4) PROPOSED USE (check): (5) EQUIPMENT: f' .' <br /> Domestic Indussrial ❑ Municipal'[] ROWY �]. <br /> IrrigatiOn Test Well ❑ Other d Cable ❑ „1_ .�d�; <br /> Dug Well ❑ <br /> (6) CASING INSTALLED: If gravel packed . _ +- <br /> 9lNGLE X DOUBLE E] Gage D;,,,,rser lrvm to <br /> or <br /> From ft.re ft. Diam. Wil1. - <br /> sill <br /> rJ, D <br /> ' T7aa sad 16u of dew or•roll .. 5i:e of xnrelr - •' - - . .:. .. —-•- - - <br /> Dnetibo joins .. • <br /> :. (7) PERFORATIONS: — - — <br /> -r YTpe of Derforawe a[1d <br /> / Slu of peefecae:em in. I b fe. -- -- '� •• . .. .., -- -- <br /> 1 1+rQM Fq•en ft. r"4.per row <br /> (1) CONSTRUCTION: ! 'MR t1FFlf:lAL USE, 0ti -- <br /> �` � tree a rarfree wnluey ad prt r:dr4? ❑Yw [] NO To wbar depr3s ft. .. <br /> arm wr Maraca[edtd aeaiaae pailvom? Tn [I No !!y't+,Dote 404 of renes _ <br /> ft.tv <br /> �p Meth7d of.SmArLg ,• f• -T-- Werk.[veal •• tr Gnmplr:rd »6Q <br /> ,••1 _ '_•'•'••1Y ���^^ tL •S STATEMENT: <br /> (9.) WATER LEVELS: WEU!r)R <br /> This hell wo drNtd-tinder my jarifdirflaw and this reporl if tree to the brat of <br /> Doth ar wbkk.wear.ar fiM Fovad �, Y f[. my km I if acrd belkf:- e s <br /> Stan ins le.al before 'ft. <br /> Ll <br /> prrfwati nx <br /> l , <br /> is fe►d sire parf.ndsix Jfi ,..r—: n,.r T yr...rs1 <br /> l (10) WELL-TESTS; <br /> mac a wane ra[madri O Y.a [3 No It y.r,In-harm- <br /> 4 ..` �V' Yidde xel./mia.W" f[-dear dora afwr br[. tS[e74Sd]-. _._.....^------^---_.-...----�.�..--.--.•-.••�•.••.-----:_- <br /> I . <br /> Wri7 Delller <br /> 7"ra[peta[or.of>.at.r 'fb'.[.eben[In[•.alr.ir mad•i ❑ Y. d No <br /> Dated—— - .-...-...-..,19.......... <br /> j - ra,riavrric]oR wade n!wll! Q Ya N4 - - <br /> � <br /> L <br /> - � � #rat#0'.07 ieM au[n Q eve pWR 191; (AEY.8-64) r <br /> I <br /> U,i <br /> 1 <br /> y - <br />