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' l ORIGINAL nATh OF CAUFORMA <br /> Fre with DWR WELL COMPLETION REPORT �„ weLc laausTAnotl ao <br /> Refer go Inrirrroepon FirmphAve <br />' Owner's Well No _�S�u+kw ".3 .i�5 rrlw"t3 Na f) f V O ❑LL_� <br /> . Date Work Began--.S�I61j7- _ , Ended SI Ifsiet� y7 <br /> Local Permit Agency 5ojel -%,vA ,ji.1 Cca.lWN Ir W P j <br />' Vemst No f,Qol -permit Date. "IJI`» Y si <br /> CEOLOGIC LUG <br /> .i <br /> ORIENTATION (!) —�K vatTarAI. —HCMZMrAL —ANW _tw%crn NagtC�`� ;a <br /> DEFITI TO Ffftyt'WAM1R—A---(Ft)BELOW S MACS .Maili�ig AddieS `• <br />' "AFC DESCRIPTION ,�' 4h-_ 't.•fi _ , - SITATE nP <br /> FI to FI . —he s—,raPor etr. `tl+ t lam" .�♦ 'r', WELL1i IOCATION <br /> + Address' W�WASA <br /> It 'Ci1- .. <br /> PSIr ' �krL i a ocx <br /> PSI inw- <br /> i 0A <br /> &+ APN Book ti'+ 'Page parcel --- ---- <br /> r t,u > ..fir ,:tG TQvmsft}p _Itangc b - SecHon. ?� <br /> F.ahC►Lda r r NOR_IM Longitude_ I r wear <br /> ' r P1�C�� � '�SJI�+� • �' �., � oea Mitt SEC DE6 isiN. rlr� <br /> LOCATION SKETCH ACTIVITY (✓) <br /> Z �l751..1 �Z NORTHAIE�V WELL <br /> p ' <br /> IMAM& �� S �t� ;F 1�AFIC/1'[WNffl6'14Ei1 <br /> I r �Otller(Spedhr7 <br /> �+ti1kt-13 <br /> ' i ' scrf.� �` v+rt-r.I �e'o �DEaiRD11lDeeeeao <br /> �1a 1<I�I(i>< Tlelwl y pinmrtlaeeevdAWlarlelx <br /> ! � ' ��' � 11 -'C'fe+aarunrltiL tAadar"CfOLOG9iDLOC'h <br /> Q0.110E1=i, PLANNED US34S) <br /> p I (') <br /> LIOMTORINO <br /> PLAPJT <br /> e rq d1 OWATER"PLY <br /> .wr <br /> I <br /> I I ` naeeeuG <br /> public <br /> I � � �. •TE8TWt1L'• <br /> f <br /> _CATHODIC PROIEC- <br /> ! fffuda or pay DW— j Wzd fmm LandaWr�tr * <br /> ION <br /> wa0TWR(speahr) <br /> ur <br /> s i eh as Ban&.BudddinrIa� Feaase,Rftws W& <br /> PLEASE AV ACCURATE& COMPLITM <br /> I r <br /> DRILLING <br /> �y-y 5"[EvA &M plum <br /> T�� <br /> RATER <br /> LEVEL A YIELD OF COMPLETED WEI.3. <br /> p r <br /> I DEPTH OF STATIC <br /> WATER L£V11 (FI) &DATE MEASURED <br /> ` • ESTIMATED YIELD' ((SPM?A TEST TIME <br /> ' TOTAL DEFI"EI OF SOWNG (Feet) TEST LENGTH IHra.)TOTAL DRAWDOWN (F0 <br /> TOTAL DF.M OF COMPI-E W WELL (Feet) 'isfay not he repmentaerue of a+Dell S h?fVeTM JW4M <br /> DEirTH <br /> CASING(S) DEPTH ANNULAR MATERIAL <br /> ' SORE- FROM SURFACE TYPE <br /> FAC9 <br /> FROM SURVOLE TYPE ✓ <br /> DIA ,C = INT�lNAL 13AU[IE SLOT SIZE <br /> DIAMETER Oil WALL IF ANY a $Nrm FILL FILTM PACK <br /> pi, to Ft (tea t MATEpWJ GRADE 06CM4 THICKNESS FI to FL. ( (�) { } (TYPE/ardw <br /> 1 i <br /> I s <br /> r ' <br /> 1 ' <br /> r � <br /> r ` <br /> 1 I I <br /> ATTACHMENTS (!) CERTIFICATION STATEMENT <br /> �ato�LouI,the en d,Dertliy Eathre report Is camp[ ad aceu to to the beat of my knawled e and w1of <br /> SailWatsc Chenllcel Aaalyaas E X7 ft— <br /> �p <br /> ' other <br /> A)TAGH AD11 oNAL MF�ORAMTKIN IF fr WaSTS $lg+� OW11EA 'VAIM SMED 7 Ll NUM6ER <br /> DMIMQFV 740 IF ADDITIONAL SPACE IS NEEDED, USE NEXT CONSECIftELY NUMBERED FORM <br />