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Received Dec--29-99 09 48am from 227 7600 - AQUA SCIENCE page 8 <br /> CENTRAL DISTRICT III 227-7600 DEC 29 '99 10 34 No 002 P 08 <br /> r <br /> OWGINAL WATER WELL DRILLERS REPORT Do Not rill to <br /> Fite Drloln1l,Duplicate and Triplicate with the (soetloot rose,rosy,tors,cantor Cole) N° 67161 31 H <br /> REGIONAL WAFER roLLUTION r , qstste Well NO <br /> CONTROL BOARD No STATE OF CALIFORNIA � �� <br /> . '.Hee t}prejrfeb elate6a) Otber Well No._.. — <br /> ,,) OWNERt (11) 'WELL LOGE <br /> Name Ai", Total de th 4> it Do th of tom lectd welt /'p-p fe <br /> Address Pwmtt,on, Iis,nile by Mort.ebfr-Orr, fife 0.1,n�rnle7,aril tlrerloro <br /> it to it <br /> l <br /> t <br /> (2) LOCATION OF <br /> WELL-Owner♦n„rbor if ani— ^...0 <br /> R I D at 5 rt N <br /> (3) TYPE OF WORK (check): ` <br /> New Well A Aeepon?na ❑ Reeondetionmg ❑ Abetedoa 0 <br /> If abandonnrtnt,dacrlbr nsattrlal"d Mocrdwrr in firm 11. <br /> (4) PROPOSED USE (check): (5) EQUIPMENT: <br /> Domestic ® Industria! ❑ Municipal ❑ Rotary x <br /> Irrigation ❑ Test Wel! ❑ Other ❑ Cable 13Dug spell <br /> (b) CASING INSTALLED- If gravel packed <br /> SINGLE J& DOUBLE E] Ger <br /> or D,amelor from to <br /> From rt to rt Det p 11 of Hon it it —� <br /> 9 4 G ✓� Za <br /> T rM•rid un et,hq oe wrl!ria Silo of set"), <br /> (7) PERFORATIONS% <br /> Tray of Perforato"rted <br /> Size of mr"odeee In,lonsth,6j, b <br /> FDOM rt ,n ft Por( per row ROM,!xr it <br /> (s) CONSTRUCTION t <br /> Vso o,atria ooniteer ml provided! (D Yen [] No To what depth It <br /> veto a,y..rata scaled tyelstt pollu,ioe? Yr [� No If res,pate depth of,trot+ <br /> From <br /> rt to it <br /> Method of �% <br /> (9) 'WATER LEVELS, �� r WELL DRILLEA'S STATEMENT ` <br /> 1'Hpth.r which rota call 6n+twos tt rbcs wall woe drilled under sty 1Jerlidfelron and ibis rtporl is (root to tbt best o) <br /> my,knowledst and dick! <br /> CDs Iwai befort ovivrtNae it NAME <br /> oil 1.+a urea p.rr.t+eine h r1'crtetr,Een,or eetparot,onl <br /> f rowl or arlUt ) <br /> Addras <br /> (10) WELL TESTSt <br /> VAI—4 Ptunp mi moat 0 Yee Q Me It ru,br erbetef /J c <br /> Yldd, llol Iain with ft inw Jews-aftor Itte [$tOMa�j — _,(1. H <br /> T.taHt+seot at wWes <br /> .. we <br /> Defiler ti T_ <br /> seer W es a ciro.nfai epalyois rwaior Q Yo. Q No Lteense No. Dated_ „.. ... .. , <br /> _,19 <br /> Ma,,locule Job trio#,of well! ❑yes 0 No <br /> itafi s fr Wal OWN A erD DWR 1de lits✓ 2 sal <br />