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,ti rrt n t <br /> ORIGINAL � WATER WELL DRILLERS REPORT � Do Not Fill lit <br /> Fila ifrigillals hupllcafe aqd Triplhafe with the (saprl.e.7074,7077,7071,avatar Cud•) _ _20 67179 <br /> RGIarTAi, WATER POLLUTION state Weli�fw . <br /> STATE OF CALIFORNIA <br /> CONTROL <br /> BOARD No� �" ir dt7�ero11 No &1 �5 Z q <br /> eater?epjralrkk matMr) <br /> OWNER (I Y) WELL LOG: <br /> Name Total d_rprr, f ft- p2th of eoomplattd well <br /> Address Fermst"a Dranflre fry sefar,sber.der,Nxr o}aarl"I,gad urwrlirA <br /> O ft to X ft <br /> J <br /> (2) LOCATION OF WE& Jv „ <br /> cunt,t7 _ Owner'&XL=btr,It ray-- <br /> Ao- <br /> R.F D or St N • <br /> .42 <br /> (3) TYPE OF WORK (checA):._. <br /> Nm Vell Pi Deepemor ❑ ReCandtttrnnsstg l3 Abandm <br /> If Adadamiment,durribe motmal a»d procedure in Ik-m I I <br /> (.4) PROPOSED USE (check) ., (5) EQUIPMENT: <br /> Deramtse bdustrsal ❑ Municipal ❑ Rotary 21 <br /> irrigation ❑ Teat Wcll [] Othcr ❑ Cxble Q <br /> Dug Well <br /> (d) CASING INSTALLED- If gravel packed <br /> SIW"E N aouoLE jL3 Gala <br /> D,astatar fees t. <br /> From 4 ft.r. ft ¢yy sham ar a of 8e to fr ft „ <br /> + „ <br /> Typo and ataa of Awn well tins - <br /> Dugri6a jwotOF— <br /> (7) PERFORATIONS: <br /> Type of p.afatate'r.” , <br /> Size: ofyerfonttan. <br /> From ft to ft Pett per row Stow.pee fL. <br /> (8) CONSTRUCTION: <br /> was a.urfaea.laltur and peovided? d Yet Q No 7'o rbat depth ft rrn } ! i�, MA <br /> %ram,my attats titled apiece pailottm//7 IQ Yee C)Na it Im,note depth of usats <br /> From ft m 6 <br /> Method of Seahng 'clerk at...a l- U +7naeptatad LG w-1l� <br /> (9) WATJE?R LEVELS: :-_—� — — — 'WM DRDAEWS STATZME'NT <br /> 9'6&YmN tiros drilled snider my Nybd efiam and this reporl k Irate is the brat of <br /> Depth at vrhirb water wa.5mt imad it ryy know d$e oad helot <br /> r.ndws fawl bafoer perfasatiaa it N <br /> iter jsrtl aEttr parfontinii <br /> it (Pt: fum.�wepontwn r y(•rM1 <br /> Address �/ <br /> (1o) 'WELT. TESTS: <br /> V a a pump tan aade? 0 Yea Q No If 7n.b7 wbdm? <br /> St(eld, 34/raja with i,thaw a".after by <br /> VIC DYIAar <br /> Tttnpentuea.f water Vm a 4.1.1.1yata mudd 0 Ya ❑Na LLCtat,e K Dated-- _..._,.a 19��,� <br /> VAs ale"Ac lai mala of wets? ❑Tat 13N9 etosl a 57 cod ostia 4 sro r,., DWR 106 W104 3 8A7 <br />