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4 <br /> ORIGINAL Do Not Fill In <br /> WAFER WELT. DRIL�.ERS REPORT pp <br /> File with am (Seotlena7ory,7004,7011,702x,Wfiftr Caaa) D 4 58 O <br /> THE MOURCES AGENCY OF CAUFORNIA >>J 1. <br /> DEPARTMENT OF WATER RESOURCESto St°"�`�� � <br /> Ocher Weft AIN <br />' (1) OWNER- (11) WELL LOG: <br /> Name Tial aiqnk fk rk of ma ned <br />' Addms 24, FLawaons Msmikr bwdrr.Jwmrbr.Ow of ane e0d...d aencdahr <br /> (Z) LOCA'T'ION OF WELL: <br />' Gmety Dneerh m esker If as — 13 <br /> rswnakis, ss(. <br /> ]Doom tsom chip,road.,a alrerda.on. <br /> (3) TYPE OF W ORIK (check): 71 <br /> New We$ 1% Deepening ❑ Rcem-1-two,ns ❑ DarcrnYms ❑ 21 <br /> !I doslrastloor defcrlbrmats0s1 mrd Aroe d`n v 1*Item II. _ ,r <br />' (4) PROPOSED USE (check): (S) EQtnrMEN'T: /,OF— 12 <br /> Domestic DJwatrial E] Muu>,a►p:tl ❑ Rotary ` <br /> Irrigation M Test-veil Ocher[3 Cable <br /> Other <br />' (6) CASING INS'T'ALLED: <br /> tree- CTNa1t. if gravel packed <br /> 81Hd[.s r] MUMS <br /> Cnage Dlamerer a er o e ea_ 13752 <br /> ymm 'To ar of Pram To <br /> £t £n <br /> Dim. 'waa1 t Bots f fr. <br /> A-ilk <br /> SFrr a#akee or well..eee Siaaad xea+elo <br /> Baaedbr lMnt <br /> (7) PERYORA'.T'IONS Olt SCREFyx <br /> •>i of gsrfeearae a awe of anew. <br /> Irl# Rawl i <br />' Fram <br /> Ira per per Saze <br /> fr. #r raw ft <br />' (s) CONMUGPION: <br /> Wes,a aotlaee ara.ta a.al roddedt Yes LVo ro✓ba. to <br /> mace a.►carats asalad .err Ine:anl Ya Na tF ts,noha e#seraha <br /> Fie" 6 !r t. !r <br />' Pa.ea <br /> it.m fa vaxk aneted 19if cuand 79 <br /> aaahb.d of anlin c L tr N r WM DRrIaLI:Ras STAIMMMTt <br /> Tbtr mwu fuss drwed aredsr+*y jurssW4px and m*roper/a frac to tlrr bat <br /> (9) WA3SR LEVELS: etwyAmudedsp°adbdief <br />' 17cat6 as wklati waur wu Bax famed.it keeara ft <br /> I e <br /> Sn".]r lmd twin petlorqLax, if kanw. ft NAMEX/17 <br /> Snediwc feral Jur ora aaa �, 1Pararq,&m,x car0ataclanl TjFwa!ar frinwd) <br /> JF <br /> 0} W= TESTS: Addhmal 2 <br />' m t"Lm.dd Yn{,g M.Q tt,tr,by wFwmi9fACi B <br /> F44nda .rick fr.dr4w8mra afar 6rl [SwF r <br /> Tsaaeeq oI water Qat a dLou al ds naadel Ya Q No 0 <br /> Wal eFamrlc lax nada of well) Yrs a Na it Yn,altar].cool IdCme <br />' SKF-TCH LOCATION OF WELL ON REVERSE SIDE <br /> ' arx+ t8f3 <br /> �aleH1M lo-y goat 71aap lD,&oar <br />