GW1-2022-01814_Well Construction - GW1_20220221

NVEIA1 CONSTRUC`HON RECORD((;N%'-l;
I.Well C'ontructor Information:
L i
41l1D FOSTER COOK
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44
0
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'.,l •.'.n(nnt,ai Un 1.CrilriC.!(I'm N,::»hc'r
fS EIt t)11 C?5i!( efts fU#.S3°KA°'O1 NeIISE(IR t i\k R(Iruyflnie __
DAVID COOKS PLUMBING tRoif_ � /rc�: -€ IHneIVITR _j ifttc�hN_fas: r.t trEri_ —
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2.Itt'efi Construction Permit#: _ ;..xr(:�•---- ara- - , na-c ►_.-� nurs.fss_s Naa_rt ---
1 Jri Irli,:pt:fu',d•/t•well rr w,II rI"m pr,--Mlf%rI.,, 1.7C' C."!.•. �.r., t�:rr.�_ --- !L ft• - in.
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3.Well IIse(check well use): -
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rt':flrt•Supple Well: _�_-._._t!_-.•- _ - - - - -----
f: }RGW {f1 tellNfliA ,E(l1 ILF IIIEC6\i�S y>t tFl.°tE
1,t•�,Eh:unai(He:uina(:',t+dini:Sup,!vi toldcmial%I,.nir - t1, f--- -`- !,-- -----..-I_._ <-'` _._. --
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IndErt:ural-(onuncrcial �Kc1id nnaE llim-r a n,, 14.fR¢It.t --- - - �---------
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irrE auim �: FFtIi4 Ili %I Alt ill%( _� INN.'"tlti%I ltt tll<1Dd liSnl N 1 )
Nnn-NalerSu Ili Nell: - { Ie- d
Agmlci Recharge --.------.-__.-.-
f SA1f1!t i{pt}'t PACK lif applicable) _
AyuilcrSEo!jieandRec irrt Q\alin,ni\t°E icftEt�i iIa"rnun -
Ayuifcrl-e�t �SEonn•raat th:;ar:a: �' /� f°. � � fi. ! � `u t - �,;� �
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I yk-tiowntal Tcrhnol(_ �tiuh ufcrs;e(:r;tt=.,,! E ft- rY.
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f i,•t+1hVI'rrt:ll(1.to Luuff) - 1- rt.ar :U_IIRICt.d\C:I,IIC Iatlmch xdd+tinoal sheets if of•eessan 1 __ _ _
! }_R(>1Y 7ti_ — ift.,C RIY'(Irt\'°rnY,g hanlxt»:�oitrnt►r.;c__rvin+iio_n�.r RLr,N,tb;.-rrma1E_
(I featinCtalling Rcturt) Fl(}Ehcr(,eyiaiil an ?' :,ew, _:, ja:e:,t
'tale'kii'ell(s)Completed:
N01 Location:
.,.:,I!tddr..•, (ln - .-_.Ad Z:p .._.
51).Latitude and longitude in de rees!minuieslseconds or dr+(.auf ._.......... ._.__.____------------------------.--__..
i!v:cli t'wid.:nm kit I,Suc„
22.CkYtif°C3tiGn' .7
n,Eikuv{the wclt(sf p,-1.lncnt or 1'cm rdn f �;:"„ t.�° <.;nE'::c;' ,: i:• < ::!<n - 1;,.:-
1,lhiii a repair man etishn will: �\c•: or lte!`t ' ,s• n:,, ....
r e,'n:.: Ifll hill F4:r,1 r r I( U,Ir I'l. .. < ....... .... .. �. ., .. d •Ii4 .,,..: ... � �!
Lt.Site r}8rg im o dd.fi-j .ef wtfil'ttaili FEB�
look-t.;roprobMl)PT nr(7u.°d-i,uop(.colbcrmlf EtcI9,,,., c rs ..::r• i t.`... Y ". Ee•_:' E�; ,,.,i, :u,!ttin,� �/f 2Cpfi.t..ri> CT u:;!
t•,t +' �l , i<;,:1at:ii nuis... Y ,.... 1i J13i(:+ih'(iciiikv :1!! 4oi :1:1:t
:rliun.,+tilt 1 (}l, li t.0 ito a,,: r(i,Ai. t_1r.
- - - gt Pt14f'F f fit.l NS 1Rt{:t i(3\� ui t " y E f i'! 7
+i.3 nts!it elf depth beiuw-la;ad 4ttrfacc: i_•'•�-�l� .._-_._-_(f�(.r. ,�.. �sra a$f L4 albs: ..-,}u i t ,4, ,�i;t ,. ...fiu, ..? a,r.�.���,���Y!!+,1 i;•; �a,.;;
p �:;,,:,r ,:r G 1, r'r1r/d.r !$;•r•,r r n';r;•nr+++ � .. '
i(f•.lalic paler kit t tseltpiC top of castn<<. itfl i_rt E3 tit ili.,tef!?+Fx[i!iCb, ttYl,rti(a filrFi Pt(it( ietSt 1 Wt.Ifs,?pia:,wrr+lcc C<nicr rtt+t'i f !('2 7699-1(t}"
I f. ft+:refalrle diamtter •_- �?_-^lift.) :f ° ;Y€'' E .i h! ^;ir
t E',.r is,3zE(iacft r t,,rir� „ut � t,.
- of A:Ii
tS ell t(ln5tructiolt nielf r[t
f)ii4sr+ cu'+ ;,trr Fteitem ecs.tits fir ground Inirctirrr:Control Program.
' i:lift 1F 4"f f;f(ti['!'PI.t to f,l.l.ti()'iriN, - ih k Mad Sit-rilce(cnft.t,Ralciph.V`27fr')9-1636
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`s ic•tlf 4 Efir,t) -- t fc(hod ill test - '.._._.�._.___-._ 't' 1�'r T: tyia SUP1li & f,nircli oil ill etfi: t+ - p ( : is ,t + h '(Yl :,. !,I °i+ (;;,'�• •.
f tP !)ifrltlfection t} ic: �r �tnrFlt;2. ! ,,7r i. r• ri r tr.1 ..,: r!r ; +,i.1 ,,).L t? ,anti._,E ,,, tht r