Laserfiche WebLink
STATE OF CALIFORNIA Do Not Fill In <br /> DUPLIGlYTE THE RESOURCES AGENCY <br /> ReI ie this copy DEPARTMENT OF WATER RESOURCES N? 122604 <br /> WATER WELL DRILLERS REPORT State Well No. 1. <br /> Other Well No.'4---1 39 W <br /> (1) OWNER: (11) WELL LOG: <br /> Name Vi •,- Total deprh 110 it. Depth of completed well 104 ft. <br /> Address 1 Formation: Describe by rolor,rbararter,sizr of material,and rtructurr <br /> 'F r' ft.w ft. <br /> TI <br /> (2) LOCAON OF'WELL: 0-4 o •o <br /> County ;� _ Owner's number-if any .�� t1`1 <br /> Township.Range,and Section Tps i•r` 8— <br /> Distance from cities.roads,railroads,et F 16-22 C la <br /> V1 of Union rid 22-29 Shale & Sand <br /> (3) TYPE OF WORK (check): S. Side of Fig 27-36 C la <br /> New Well [3t Deepening ,❑ Reconditioning ❑ Destroying ❑ 6.» nd <br /> If destruction,describe material and procedure in Item 11. 38-39Clay <br /> (4) PROPOSED USE (check): (5) EQUIPMENT: -41 :and <br /> Domestic [2 Industrial ❑ Municipal ❑ Rotary [? 41 -4 Shale <br /> Irrigation M Test Well ❑ Other ❑ Cable ❑ 45-54 Sand r <br /> Other ❑ 54-70 C lay <br /> (6) CASING INSTALLED: 0-80 S d--f ine <br /> STEEL: x OTHER: If gravel packed �'i0_ 1 le <br /> SINGLE L_Jri DOUBLE ❑ 81 — Sand-fair <br /> Gage Diameter 85-102 C og r s e i f'1) <br /> Froin 110 or of From To 02-- Sand—fa <br /> air <br /> Et. ft. Dia. <br /> m. Wall Bore ft. ft. 1 Shale f Sd C <br /> 12 0 1 4 <br /> Size of shoe or well ring: Size of gruel: <br /> Desc ri ba i.,ini <br /> 7-rel <br /> (7) PERFORATIONS OR SCREEN: <br /> Type of perforariun or risme of screen Ot <br /> Perf. Rows <br /> From :To per per Size <br /> ft. !ft. row ft. in.x in. <br /> TT <br /> (S) CONSTRUCTION: <br /> Was uefac ary seal provided? Yes 1Vo ❑ To what deprh t. <br /> Wtre any strata sealed against pollution? Yes ❑ No❑ if yes,note depth of mato <br /> From ft.to ft. <br /> From ft.to ft. Work staritd 719 ompleted 19 <br /> Method of sealing P. I WELL DRILLER'S STATEMENT: <br /> (9) WATER LEVELS: This well was drilled render sty jurisdiction and this report is true to the best <br /> llepsh at which water wac firs[ found, i4 kaown ft. of my knowledge and belief. <br /> Standing level before perforating, iE known f[. NAME fT �_! '� p• 1-O InC <br /> St—ding, level after I (person,firm,or corporation) (Typed or)rinted) <br /> perforating and developing ft. <br /> (10) WELL TESTS: Address VT. 1' , b <br /> Was pump test made? Yes ❑ No if yes,by whom? ( 211f 9 <br /> ' _ <br /> Yield: e <br /> sal./m}n.with f[,drawdown after Drs. [StGI+iEn] G <br /> Temper tore of water 11 Was a chemical analysis made? Yes ❑ No (Wel!Driflrr) t <br /> Was electric log made of well?I Yes [] No gA <br /> If yes•attach copy License No. L290813Dated 4-27 — 19,74 <br /> SKETCH LOCATION OF WELL ON REVERSE SIDE <br /> I. <br /> DWR 188 (REV. 9-681 e71e9-I50 eat soot tarp Qi oar <br /> 1 <br />