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, <br /> ORIGINAL STATE OF CALIFORNfA � � Y — N <br /> File watt, DWR WELL COMPLETION REPORT Q <br /> ,Page,,pf Re(dr to tn•[yttrNott t'aong6let MAW WELL No.r TAT10N pa- <br /> Owner's Well No. PSttv_--ZNnv �� i__ <br /> Date Work Began -T ,Ended S 1 LAT1TWE L4NantICE <br /> Lova[Permit Agency "AA-4 a e pw.� onpv„"Ir <br /> Permit NO 9 _1PerrNt Dake <br /> CEOLOGIC LOC W13L }YNEI <br /> ORIENTATION (✓) ! WRTICAL -HORIZONTAL ANGLE ,_.__(SPECIFY) NaITIO tx <br /> STH PROIA DBI?'I'H TO FIRST WATER (FL)BELOW WVACE Malh%I ` dLe5S M` <br /> EURPACE DESCRIPTION �" .' �_ w Ltr.4 <br /> Ft to Ft laerMba matmdl,groM ntA m16rr etc •�� ! am x W k LL IrQ C ATI O Int STATE ZIP <br /> 'Address <br /> county—SA.4_ - <br /> ` APN Ba ok Page Parcel <br /> ^r t •r TAW" "T Range section-_ # <br /> �/AA.r6 .J� 4 c �aH�ua. t i I r WEST <br /> t ^ .� Longitude- L_ - <br /> i GBG ttlN� SEG 6EG MIN_ &EC. <br /> eta~ LOCATION SKETCH ACTIVITY ('!) <br /> ±^ NORTH —145W WELL <br /> M DDIF'ICAiIOH rtiE vAI R <br /> Deepen <br /> her(Speedy) <br /> -', ' l iJ�.S?' Glll�}/T^/lr�e �...6F..STROYtAseerftre <br /> *+_i_ l.5r a 1 �` '�'L�, ��" Praa9duraaaadRfBlerlals <br /> _ Under'GEOLOGfCLUe 7 <br /> s5- ' ` t- F ANNED USL(S) <br /> WATER 511PPLY <br /> i I A_. V� <br /> t� �. 'TE9T WELL' <br /> r3jC CATHODIC PROTEC <br /> ' SOUTH TION <br /> ' Ilhalrata ar DmeribettnnVhrtanw of WrIf fiom T,artdredTkS OTHER(Bpaally) <br /> I PLEASJ�BE ACCdURATE 6 CONrLEM <br /> e � <br /> DRILLING <br /> ETTW } �-7Txi A�eAa- FLUID ?-t <br /> WATER LEVEL A YIELD OF COMPLETED WELL <br /> DEPTH OF BTATIG <br /> IN'I I'VEL (Fi) A DATE; M1 A14UREO <br /> ' ESTIMATED YIELD ((IPM) a PEST TYPE <br /> TOTAL DWTII OF 130M tc 3 r (Feet) TEST LENGTH) pica)TOTAL DRAWDOWN (Ft) <br /> TOTAL DEPT9 OF COMPLETED WELL _(Feet) •May not be represmatme of a well f long te"n yreld <br /> DEPTH CASINGS) DEPTHS ANNULAR MATERIAL <br /> FROM -SURFACE BORE TYPE r FROM SURFACE <br /> HOLE TYPE <br /> DIA. z o m MATERIAL/ INTERNAL GAUGE SLOT 31ZE CE- �8011ENN <br /> achea) I' +- k GRADE IXAMIEE R OR WALL IP ANY MENTITE Ff� FILTER PACs(F( to Pt Utceee) THICKNESS pnch") Ft to Ft (�) (�) (TYPrISIZE) <br /> O 1 10 4AQIiL © i Z­7 <br /> 92 3 $ i <br /> Pitt-St.( 10 7- <br /> ATTACHMENTS (2�) CERTIFICATION STATEMENT <br /> COatoo)c LOD I,the underst ed,certify that th)a report is compl�e/tie and a urate tc the gest of my knowledge and belief <br /> �COIW5A r i _ ) 4 <br /> Wag Diagram NAW �3"eT f`J9t1 l i� <br /> �-- Gsophyre,cpl Lep(e) � <br /> soktwelerCtt4tntcatAnalyaes <br /> ADG ATE LP <br /> plher �zn _l ATTACH ADDITIONAL woFwAncK tF rT EXISTS SIgaedLE RI PRESS ATE SIptED <br /> DWRl88REV 744 IF ADDITIONAL SPACE IS NEEDED, USE NEXT CONSECUMVEey NUM13ERE D FORK{ <br />