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`1 ORIGINAL WATER WELL DRILLERS REPORT Do Not Fart in <br /> Rio Original,Duplicate and Triplicate with the (socei..r core,ran;Boa:,Waar cede) N9 5.5238 <br /> I(EGIONAI, WATER POLLvrION. <br /> State Weil Na <br /> ITI oL BOARD No SPATE OF CALIFORNIA <br /> r roproffrker,r wkr) Otho Van ices,....................-...... <br /> _. <br /> (x) O (11) '_WELL LOG: <br /> Name Tat.1 a f � f. De [e of avraaitt.d,e1r .r �G'� <br /> Rddms lkrtribr by abior,rbarrrin,Jimr vl nrsrnter,•,d tfrarrrr., <br /> "} frto k.. <br /> ` (2) LO N OF )WRTL <br /> Cooneyeslowmem numb",if*or— 6 � <br /> R.F.D.or S[wt .. . <br /> _ ro <br /> 67 <br /> (3) TYPE OF WORK (check): <br /> Aiew wall DmperliaS '0 Recondidonins ❑ Abamdo- 0 <br /> E'f a6arfdannurrt.daa5rbe aaafcrial ar[d broerdure 1n ItrrK 1 i. f <br /> {I (4) PROPOSED USE (.check): (5) EQUTi'iHENTI f <br /> Domestic 5d Industrial ❑ municipal ❑ Roriry p <br /> Irrigation 0 Test Well ❑ Other ❑ Cablc ❑- <br /> Dug W4 <br /> (6) CASING INSTALLED: If gravel packed <br /> - SINGLE X PODULE L Grp - <br /> of rriam�[er from *e <br /> - Ftom fc.m it, Dian. mill <br /> e� ,. <br /> { _ Trpe sod da[of rhos at—Il rias •�+� Size of era•eh ' <br /> � y nrovriM Ivies .. ., , <br /> (7) PERFORATIONS: <br /> Yrpa of oe*foratar mad ... -- <br /> size ofyrrfantiom 1n.,lenteh.br in- <br /> 3 From (trio_ —__ h. ... Pet(.pQ ma —_ Rawr <br /> fli a <br /> (8) CONSTRUCTION: -- - _ <br /> �n a atu[�atoitaR real pm�ldedr ❑Ya ❑Nv To wear depth <br /> E -Tao my arsts mdad aadma pvll.ri.ni AT" ONO <br /> From rr,ao ft, <br /> 4 method of 5ealiln 4 Wv?li ae..w •' •• tT ��Cvmpletrd ]s <br /> i (9) WATER LEVELS: WELL LEES STATEMENT: <br /> o <br /> Tfllr vigil mat drlRed under my jurlsdrerion and fbir rrport;r 1rpr 10 fbr 6W o <br /> 1 I Dcp[6 41-b"wrcr Ytr 6ex'fvg6d fr. rny,Etioirdedgr bilk(- , , � <br /> :aaai.s Iv+.l before pa[[.ra:inQ ft, / ;, t j i Y {! /t - f <br /> NA14fH, r Y �. , t , i ;,' <br /> ad:At Iml aka ver(onrlas ft. <br /> , , ,r1rPEl) <br /> Addmi; 'w <br /> ? -(11D) WELL TESTSt � <br /> ' C Tu v yaecp tat mtde? 0 Ytr Q Na If ger,by wll6etc7 - - <br /> R•• [SYONEn] <br /> t r[aa: (tai-/mi a.wile k.ar.w does,aer n.fth <br /> + ;. .• Will i7rfWn <br /> Trmxra:nee of vartr V7s.v ei,.rni-1 analrt:t caadvi (] Yar ❑ No " <br /> 7 Lire ?da_r---' - Aatad_.,.._........ ...... ........--.,]9. ...... <br /> V...,rerrie let ends aE.we{IF 0 Yrt ❑No „ saver r.oT raK vwtn.Q 8r0 AWA lea (FEV.9••1A) <br /> ` i <br /> I ' <br /> f <br /> I <br />