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Received Dec-29-99 09 48am from 227 7600 - AQUA SCIENCE page 1 <br /> CEhITRRL DISTPICT ID 227-7600 DEC 29 ,99 10 26 Ito 002 F 01 <br /> E <br /> �Cd� l <br /> TAT F N1/+ Do Not 1`111 fn <br /> 01101MAL C��� T R11: RCE G " 3 <br /> File with ovv>t ale /,I` DEPART NT W R RESOU ES N:` 125786 <br /> d�,c WATE DR LERS RE RT State WeIE No <br /> I* ( L,�? Other Well No <br /> (i) OWNER ep (i i) WELL LOG: <br /> Name Tat.l death I t2fi Dr eh e!eomvirted rdl ft <br /> Address Formst—, Drrrribr by color rhrrartrr, vl n.•irrid rwd ilrbrfair <br /> ft ca ft <br /> (2) LOCATION OF WELL. <br /> t.uvnisa&qujn Owner i number if am _ <br /> Torwahi Rant and Sta,on <br /> i]uuner fr"m emu road, railroad. res <br /> (3) TYPE OF WORK (cheek) <br /> New Well je Deepentnt 0 Recondttromng ❑ Dcatroyans ❑ <br /> 1 drstruchon,describe materml aitd procedurein Item 1l 111 57 A In <br /> (4) PROPOSED USE (cbeck): (5) EQUIPMENT ay <br /> Domestic Industrial ❑ Municipal ❑ Rotary 21 <br /> Irngatlon ❑ Test Well [J Other ❑ Cable <br /> Other <br /> (6) CASING INSTALLED <br /> BT[SLOTHER If gravel pocked 4.03-1 n6 cas.;Z- 4 ghalft <br /> 61NGLC® DOUBLE ❑ <br /> Gage Diameter <br /> Froin I u or of From To <br /> ft it Dorm Weil Bore it it <br /> y'ar of.hoc"r roll nn S.q of an.rl� post-It"'brand fe trans memo 7671 or pages► <br /> welderl TO Frorn <br /> (7) PERFORATIONS OR SCREEN. <br /> TY ut <br /> of prriatwn ur mme of ierern 447 At <br /> cn Cc i✓ <br /> Perf Roses Dept Phone B _7 J <br /> From To per per Size b <br /> row it in ,c in "d — 7 Fax M 2- 7z —7 <br /> tt <br /> (s) CONSTRUCTION <br /> dr++a wrf+rr i+ninr ru[ ,arid+dr <br /> YesIC 14o To whs,dr th A <br /> Wars+n .,uu,aaiad.xa,n,e 11rtwwl Ye, No It yq nota do tit o!itrara <br /> tram it to A { <br /> Frum It so it Mork itarttd 1 ]v Cort Istsd 14 <br /> M11 bud of.aahw WELL DRILLEA'S STATEMENT <br /> (9) WATER LEVELSs This well war ifrrlfrd uwdrr tray losrrrdirhon end this report is frost to the first <br /> of my Anon trdge acid belir/ <br /> 04,PO .t h.eh w+tu w..(err[ lwnd .!3iwvr" fr Co. ,Clandln level Waot rforat,n if haown ft NAM` He nin $ Bros• DrillingCInc a <br /> MARd,w Irvei a(trt r(otatle and dss+io!rr f[ (par.*- firm it eerpepte6an) 4Ty0rd or brlwrrd) <br /> (ia) WELL TESTS: Addres. 2500 W ble RC1 <br /> / "'la Pumt ettt ma"? •Y a 0 No CX !1 y4f,bx whom) <br /> l d ' a+i/mn with it dnrdewn for hr. SFCNEO <br /> '!'em oeuvre of w+qt �n a chamint swat S+malas Yn Nu� f,Ird Dr1 lr+t <br /> leu a[+e talc io aads of well! Yn N• !!ya. stuck:wvr L[ernse No 290813 �T}etsd ,.,....,....�i 19 <br /> SKE7CH LOCATION OP WIKLt.ON REVERSE SLOE <br /> OWfI laa ay,sa 71141 ese eoM iiia ZlN ep <br />