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A <br /> 91UGINAL STATE;OF CAUFORNIA Do not fiu in <br />' THE H550URCES AGENCY <br /> File with DWR DEPARTMENT OF WATER RESOURCES No. 185791 <br /> 0,91 7utct No WATER WELL D�iTi',XW REPORT State wellmy <br /> mdt he.or DCLW M=1 Other Well IV-Q1 - O&4�� <br /> ) <br /> (2) OWNER: N (12) WELL LOG. Total dsprh n Depth of completed w a_____it <br /> A "Me 1.1 feaea!! to it Pbrmetton (Desmihe by cAcr, character, rae or mahnW) <br />' CiEY i 54r <br /> (2) LO TION OF (Sea f6stmetions) <br /> CauatY (:hvwes WaUNowaber <br />' WeU address if dWereat fstba abo AfAqPA& <br /> 1bt+wh <br /> D4f rkm f titles,mads,raa ,Eeocei etc <br /> •� S, <br /> (3) TYPE OF WORK: <br />' New Wall3k DeepenieS❑ '&�w <br /> Ractmdiiiamia; ❑ s / <br /> E m±=IZi Well ❑ <br /> Dasfaochgm D (Desaxibe �.� <br /> daat:uctioe�matmisia <br /> procednen r SB f..� <br /> Dotantfc -�� C'� <br /> � 7rrigattoa ;% 'N� ❑01 <br /> NINW <br /> � t <br /> stock rev `. } - ' <br /> Nmunuo <br /> ,1 <br /> WBI.I. LOCATION 57CEiCSi Uthez <br /> vf1 <br /> (9) EQUIPMENT. {61 RM��EI <br /> Rotary ] Yinverso ❑ No <br /> Coote Q Air ❑ ` iometer of bora <br />' (7) CAsiNG <br /> steel© Plastle Q Caficseta ny pe of perf n�: e of sct � <br /> Flom 'lq�4 Fifa. Ga' r Ffb i} T, <br />' ft #C,t is Wail ft = <br /> (9) Wl3LL SKALf ,' • <br /> Was sarfeca ankaw Seel pmwb ai? Yee, ' so 0 It yea,to dw� � <br /> W. strata ruled ",Ime Yes No [a <br />' Method of lobWQ#k 9 Cornpl o <br /> (10) WATER LEVELS[ WSM DRUAJM!S STATEMENT: <br /> Deptb of f m* water. HThfa teed corder-v Eitrwiatson and &a Awn zs hea to she bmt aE mu <br /> StandEal ]awl akar well couple kno artd <br />' (1I) WELL TESTS- s 00, oe <br /> Way well tart made? Yes 0 No 1K U yea, by whcm3 <br /> Type of test Ptunp 0 Mader© Air lift❑ NA +1 <br /> Depth to water at start of At ead of tett. r+ iimt,ar ) f as Dmf <br />' n,t�= after- burr Water tam Adrlte <br /> "awlyru made? tm RNo© U yet, Ey whom7, at,,. �w <br /> e?og iaadr3 Yes❑ No ❑ if ves attach copy to this raq-tIWWLfomue Na- 7 I�rG4C ,� _ __rioto of[fele <br /> R see tRIM 7.701 IF ADDITIOKAL.SPACE IS NEEDED, USE; NEXT C0r48ECUTjVZLY NUPABJE xEI] FORM <br /> 1 <br />