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ORIGINAL - <br /> l={ls with DWR STATE OF C&L"Alv,r. Q U v - n F I <br /> �< < WELL COMPLETION REPORT <br /> P.ge-� of 3�' ( "�` �"'f ~J Refer to Inldrnat,on Pampblat STATE !WE-7 NOISTATION NO <br /> Owners Weli No' r _ Nnr 3 9 8 5 0 8 f' J11- 1 L <br /> Date Work Began A 2"�� l`�{Z, Ended U+- 7- �?- ��� 'J RA'ft]V E LONGUMIne <br /> Local Permit Agency Awl - vtrl Cc�.sn1v <br /> Permit No _TZ " 2-1 V� Permit Date r q ��Z„ ; <br /> I GEOLOGIC LOC WELL OWNER <br /> pgIEIITATION Vol <br /> YENnCAL --H0FktZONrAL —ANGLE —MIRECIFY) NarnesYcc + <br /> DFVM TO FVW WATER (FL) BELOW SURFACE befallingAddrew •� v-,�---r"�L'r A cv r r�.t ecy <br /> ��IaFt <br /> �'H-�+�i" �� M,::334- 04 -�DESCRIPTION .�� 3��i�5FI Aurnbe analsria dram nu,color,etE IIP <br /> crrr WELL LOCATION srAT> <br /> j �r-`:7 ( 1+711.1 t2il PS r+14.1-ZtaAddress <br /> City cS J ef <br /> lwC-4 s In County A t4 � L)1.4 <br /> 1 i <br /> WELA- PAI APN Book Papa Parcel <br /> �ar._r --o' .wtw•- l L7 i,ht,i+-Z Tow"uship'T I u Range 96 E-: Section 81 `I11 18_ <br /> • t t atltvde tib + Longttucle_ s WI=sT <br /> OMMill. BEC OEM FAIN ae <br /> LOCATIOY SKLTC$ AETIVITY (!]— <br /> 9 ' W��' 1N Iw/6�L NORTH NEW WELL <br /> AiOOiF[CATIONlREPAIR <br /> t la✓T wtvS <br /> f�=1 r t•1' + � r L r SFF, �"A' ACL V4:> MAP 060994 <br /> ____OIR■r(Spaciry) <br /> T 1 <br /> I <br /> d .,..—IlE37AGY(Oarcr,Ebe <br /> Fre�edarea■adAd■Ix!■f� <br /> ' ' wvar-c>:oLaarctoc z <br /> -PLANNED USE(S) <br /> - i ' ,'Y 'r •`�' f WATCH SUPPLY <br /> 1 <br /> _ .-.� trolA■alla <br /> Pubfid <br /> ,�• rrl I _ lir; -� <br /> r.. hlaualrLl <br /> 'TEST TV6F,L <br /> r r • + /, a G + t l r A'� /�-}. w...CATHODIC PROTEC, <br /> 1llurtrate or Deur"DulOCoe of We1I from L.andmarb —OTHER(Sp■eVy) <br /> .7 4uch r r r F PLEASE BE ACCURATEG COMPLETF, <br /> lu r 1 3� <br /> 8tE11tg0�54�� +f CE. ifi,G_2 FLU,U W <br /> l.4;,,yar WATER LEVEL a YIELD OF COMPLETED WELL <br /> DEPTH <br /> WATER OF LEVEL AT)C (Fta d DATE MEASURED <br /> EMMATED YIELD• (GPM) & TEST TYPE <br /> TOTAL DEPTH OF BORING (Feet) TEST LENGTH (Hra,) TOTAL DFIAWDOWN (Ft) <br /> TOTAL DEPTH OF COMPLETED WELL (Feet) *May not he reprtsemetme of a-velli long-term_veld <br /> DEPTH CASING(S) DEPTH ANNULAR MATERIAL <br /> FROM SURFACE BORE- <br /> BOLE TYPE FROM SURFACE TYPE <br /> OIAINTERNAL CIAUGE SLOT SIZE <br /> (Ieehea) °0 k` MATE:RIALI DIAMETER OR WALL IF ANY tom- SER <br /> id <br /> Ft to Ft m `�' -� GRADE (inches) TMCKMEESS pnchea7 Ft to Ft MStJTTOWE FILL FIIILTT ER EI PACK <br /> 1 , <br /> 1 , <br /> r <br /> 1 <br /> 1 , <br /> 1 , <br /> ATTACHMENTS (!] CERTIFICATION STATEMENT <br /> geologic Leg I,the undersignad,cart,fy that thta report Is com$611a and acctuate to the best of my knowledge and belief <br /> y Woo Conatrutmon Diagram SME u EFCOND !(iYAED 0ti D7 <br /> . . .� Geophysical Leg(*) t! <br /> ,. SoII1 Watet Cham�al Anayreea •� <br /> DI <br /> OD,K CITY STATE DP <br /> -� a <br /> T rACN AODJYMNAL WFOALUITxw 1F Tr FJQST3 A <br /> D B R NTAl1VE DA EQ G57 LICENSEBEH <br /> v 7-90 IF ADDITIONAL SPACE IS NEEDED, USE NEXT CONSECUTIVELY NUMBERED FOnMi <br /> 1 <br />