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Well Outage Report Form

  1. Report of Well Problems

    Colusa County Sheriff's Office, Emergency Services
    530-458-0218 | email: jbell@countyofcolusa.com

  2. Purpose: The Colusa County Emergency Services Division is asking landowners to report all well issues, whether drought-related or mechanical. This information will help in our efforts to gain a better understanding of the groundwater system. Please answer as many of the questions on this form as you can, and submit the form to the Colusa County Emergency Services Division. Specific well locations will not be made public. Thank you for your voluntary participation.

  3. WELL LOCATION

    Please provide any or all of the following information about the location of your well. Well locations will not be made public.

  4. WELL INFORMATION

    Please provide any or all of the following information.

  5. Leave This Blank:

  6. This field is not part of the form submission.