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► R 1 <br /> ORIGINAL STATE OF CALIFORNIA —� o <br /> Fire with DWR WELL COMPLEZTON REPORT iA. I� I Vis f <br /> Page--t-._n f__L Refer to Inrlructyon Pempblee =AM WELL No.1aTAnoN Ho. <br /> Owner's Well No __ E�9 1e"W 3 1: t'15 f biw-13 No. 4 /] )8 V O <br /> Date Work Began 6�Hr— . Ended 51m145— =J f LAm:wE LoNarri+ae <br /> Local Permit Agency S8_AoAQ!OiJ C6,J N a 4P -- <br /> Pernut No — e.0cpI Pemit Date— ski/mc- <br /> sr <br /> GEOLOGIC LOG `" �1 rL ppyNE�i <br /> ORIENTATit)Ir (✓) —ABATi <br /> YCAL �.HORIZONTAL NG <br /> ALE __(SPECS N¢x(tek.',—,. � w� �„i.sN� <br /> RW DF.FPA T41rIELST WATER_ G _(Ft)BELOW SuIIFACB Maflig Address. }-� �oi�l ,•e't 7' W. <br /> mar DESCRIPTION �� cL??J --oTT'"� csEi+l-zc+l '�E ZIP <br /> Ft to Ft Describe metas! size,color,uc, \ ti v^ W E LL I;Q C A TI O N aTr <br /> s <br /> ekddres4 <br /> VA <br /> •s{ 6 AM Book�� `Page -- parcel <br /> , 1 �L,I f � v 04 <br /> b.r + r S' y - i }r.,t To,OP- <br /> P 1 1 sl Range 6P Sechon 116 <br /> ` ` `�G7 z�1>* _ aht'nde DEa Mia aec Longitude DEL r NNalio. WssT <br /> 1 P LOCATION SKETCH ACTIVITY (--.✓ <br /> ) <br /> NEW WELL <br /> , , r.--.na■Pa■ <br /> I„rEST t_rAH►-f�s�Y �.other(sneair) <br /> DESTROY(D■sersLa <br /> r 1iG'�W ` �rwr i?75'f1zt��t-Teras ■ <br /> r r "S�1�li.v/lL UNder"CEACOCfCLOG 77 <br /> ' 1 �`i2nuy.,ra Su �aS�I7EF PLANNED USE(S) <br /> df D P <br /> , WATER SUPPLY <br /> i , t <br /> Ps 1155 Q t_t9 Domasttc <br /> �•7f <br /> 1 1 <br /> � , � h11W110,f <br /> I , <br /> I , �� .--� Nd■slhat <br /> i '?EST WELL <br /> 1 r SOUTFI �.TAT ODIC PROTECT <br /> 1 ION <br /> Ilfustrafe or i Riom etc <br /> D7PcrtbennDgg ' <br /> ffrnancc of WW,11fmm Lanrla,aris —_ OTHER Capacity)r inch av IIoa�E ACCURATE& <br /> PLEASEBCOMPLETE. <br /> 1 1 <br /> r DRILLING <br /> 0 METHODJA f AO&A S-t6vrn /Etv FLUID <br /> + WATER LEVEL k YIELD OF COMPLETED WELL <br /> DEPTH OF STATIC <br /> WATER LEVEL (Ft) d DATE MEASURED <br /> ESTIMATED YIELD' (GPM)&TEST TYPE <br /> TOTAL DEPTH OF BORING (Fort) TEST LENGTH Ufre)TOTAL DRAWDOWN (Ft) <br /> TOTAL DEt'TiI OF COMI isrED WELL (f=eet) 'Afay not be rcPn=ww4we of a well S long-farm Iaeld <br /> DEPTH BORE CASING(&} DEPTH ANNULAR MATERIAL <br /> FROM SURFACE <br /> *METYPE ✓ FROM SURFACE erg <br /> DIA ,e Y MATERWLI INTERNAL GAUGE SLOT SIZE OE, BEN- <br /> s� MA I, GRADE; DIAMETER OR WALL IF ANY MEW RINEIE FILL FILTER PACK <br /> F1_ to Ft aeehes) THICKNESS tlnaAes) Ft to Ft (✓l (✓} (✓} (TYPEISIZE) <br /> 1 � <br /> , <br /> r <br /> 1 <br /> , <br /> e � <br /> e � <br /> 1 , <br /> ATTACHMENTS CERTIFICATION STATEMENT <br /> oaotalaia Log 1,the and r IR ed,certify t at this report IS Ceropl nd eccu Ie to the best of my knowledge and behof <br /> , wart contuuotran Dlat7rala NAME 7MRSU Tuw <br /> �, Oeaptlyelael Lag(e) <br /> SalltwaterChommelAnelyses _31 <br /> Other STATE zip <br /> ATTACH A001770lYAL OVFDRAIA710N IF lT EVISTS 8Jgrled W ORIt rR ADTHD ttEFR AYE ATE 3"D G 7 tEEME H Y EA <br /> Dwitusary Tao IF ADDITIONAL SPACE 13 NEEDED, USE NEXT caNsEctfriVELY NUMBERED FORM <br />