Laserfiche WebLink
STATE OF CALIFORNIA Do Not Fill]it <br /> THE RESOURCES AGENCY <br /> DUPLICATE DEPARTMENT OF WATER RESOURCES 1��7 <br /> 2 99798 <br /> Retain this Copy WATER WELL DRILLERS REPORT <br /> State Well No. <br /> Other WeB No. 74-330_L1 <br /> (1) OWNER: (11) WELL LOG: <br /> NameToral depth @. Depth of complemd well Is. <br /> Address - -r Formzrim: Desr.?br by rotor,rbararteq>:v o).and.l,aad urvrtarr <br /> TAP soil <br /> (2) LOCATION OF WELL: 5)-7 118 rd pan <br /> County 0..e-number.if any G <br /> hq le <br /> Town>hip,A>o r.>nd Section <br /> Da,an«from em.,roedt,-:]road,,em. <br /> Pr ana IZ-18 Sand. <br /> (3) TYPE OF WORK (check): 18-22 Clay <br /> New Well k Deepening ❑ Reconditioning ❑ Destroying ❑ Q <br /> If destruction,describe material and procedure in Item 11. <br /> (4) PROPOSED USE (check): (f) EQUIPMENT: <br /> Domestic J0 Industrial ❑ Mlmicipal ❑ Rotary <br /> y "hale <br /> Irrigation F-1Test Well E] Other ❑ Cable ❑ clnI <br /> Other ID 75 so ar-RIT&I <br /> 3 <br /> (6) CASING INSTALLED: 8o 95 t ook <br /> STEEL OTHER: If gravel packed 95 iQQ G3!Q Vel <br /> SINGLE DOUBLE ❑ o 1 o_ tttiva <br /> Gage Di.00Mr 6 clayFra. 'fo or of From To <br /> 106-125 Pock <br /> ft. it. Dram. Wall Bore ft. ft. <br /> peaSize of ab«ur w,ll rina: 5'a<of Rnv<I: <br /> De nbe juma <br /> (7) PERFORA Idqd <br /> ONS OR SCREEN: <br /> Type of perfon[:on ur mme of screen <br /> Perf. Rows <br /> From To per per Size <br /> ft. fr. row ft. in.xin. <br /> (8) CONSTRUCTION: <br /> W>a aeudace unlnry u l provided? Yee No ❑ To who d,p,h ft. <br /> Wen any+vna amled aR>Insc pollu,ion? Yea❑ No❑ If ye>,note de >xrzv <br /> Fru. ft.to f,. <br /> From ft.m ft. Work uarad 19 .Complead 19 <br /> we,hod of seaun WELL DRILLER'S STATEMENT: <br /> (9) WATER LEVELS: This well was drilled under my jurisdiction and this report is true to the best <br /> of my knoudedge and belief. <br /> Drp,b>, which w e. fire, found, if known f,. <br /> S,andins level b,fnre perraradnR, if known ft. NAME <br /> perrpn,firm,or rorporaoon l y r *p,m r l <br /> Scandin level a£[er OerfmuinR and develapinR 52 !,. <br /> (10) WELL TESTS: Addre66 <br /> w»pump test mad,? Ye, ❑ No If yn,by whom} <br /> Yield: Rd./min.wi,h f,.drawdown after hrs. [SIGNED] <br /> Tempentureo(wanr wasache.ical>m lyaie made? Yea ❑ No (17,11 <br /> Wa,alcor a I.,made of well? Ye: ❑ No If yes ach copy License No. 290813 <br /> Dated7 JY 19-74 <br /> SKETCH LOCATION OF WELL ON REVERSE SIDE <br /> DWR 1881REY. 9-681 31119-96o 9-6e SOM T.Ie AO OSP <br />