Laserfiche WebLink
Site Address: 22403 N. CORD AVENUE <br />Date: 12/11/2017 <br />PHOTO # 1 <br />NQ►�P, <br />ORIGINAL STATE OF CALIFORNIA W — <br />File wllh DWR WELL COMPLETION REPORT 1 1 lust, IY I Do <br />I I ly— <br />I"Ige -- if R.Jrr Irr Ixd nR rhN1 P.n,phl.f STATE WELL NO.:QTAfION <br />1 ener'e \Yell No.. No. V I I I ❑ C C <br />Ade \1•urk ftcgan _. gndEd ��• Zjn (� LAITLeE LouGlTuoe <br />I, A Penult ,Agency I I I I 1 1 1 1 1 <br />)',I it No.APNrte6,OTHER <br />Permit Date <br />GEOLOGIC LOG <br />OHIENIA710N 1—'1VEmICAt _HDR rtAL _ANGLE £..GE_1 <br />D ILLINO AP F,n �V Dry 1!' <br />oEFTN FeW METHOD rK FLUIO <br />SURFACE DESCRIPTION <br />R FL Dcvrf6e mnfufnl, KrRlu alar, nrinr, rt, <br />{Y d011 Nl:ft <br />Nalrle G / /LIC <br />Walling Address <br />nS <br />Cn` STATE <br />Address WELL LOCATION <br />p <br />3 <br />City <br />�— <br />Couniv <br />D G c Mt <br />APN Balk Page Pa LTI <br />Tmmihip - Hwtge Section <br />Latitude I I NOATa Longittole <br />LOCATION SKETCH <br />MONTH <br />W� 'Z <br />70 <br />R K' FL <br />vEa. MPI. 9ELY�� <br />ACTIVITY l=1 — <br />NEW WELL <br />PAIR <br />rIoFTCIOrxNF,RFnE <br />ANI!L <br />f <br />T_ <br />¢+� ERA <br />9 <br />UFwrrer <br />771'. -LL <br />c-. PROTELTION <br />MEAT ENINANGE <br />IRIWECIW! _ <br />Y4PUR EATRACTIWi <br />SPARGrNG __ <br />RewmTLON <br />.DINER SPECIFY? _ <br />1 <br />L Ymeua <br />Z , <br />.2 1 <br />G�2G—� <br />5011TH <br />O <br />• <br />IB„N,nh nr LYu'rdr phlnmr,Y ll•,AI,n &,PA. B,ril,lll �� <br />F- nnr,,. nr mvf mr,vi, a nu„ lI kltlpxvd II ry, ,j <br />­Vj, PIXASE. BE ACCL'RA7'E L COMPLETE. <br />{PATER LEVEL At YIELD OF COMPLETED RYF,LL <br />DEPTH 10 FIRST WATER __ IR) BELOW SURFACE <br />DEPTH OF STATIC <br />WATER LEVEL (Rt 6 DATF AIEASUREO <br />ESTNAATEO YIELDfGFM, 6 TEST TYPF <br />TEST LENGTH _ D1rt) TOrAL-ShAw _ <br />' Afq rror br rr RDTIivY s f,,`u loneT�rcl�in ylnA. IFI <br />(A— <br />9 <br />TOTAL DEPTH OF BORING WWI <br />TOTAL DEFI'H OF COMPLETED WELL Feel <br />DEPTH CASING (5) <br />FROM SURFACE HOLE TYPE(' <br />DIA. k' IMTERUI i IWERNAL DAIM.E SLOT SIZE <br />II,a,Eal K S GMOE DWAEEEfI OR WAIL IF A," <br />Fl. R D,e„erl THRANESS I.,rMal <br />WO <br />DEPTH ANNULAR SLITERI,\l. <br />FROM SURFACE -- <br />TYPE <br />CE' DEfi� <br />FL IF FL MEYT tO1aTE FILL FILTER PAL'N <br />zL) 1 r I ITYPE'FI�[I <br />ATTACIIAIENTS 1' 1 <br />aPaoaz Lo <br />wo C. -temp- O,AtF— <br />_ GPepRyNICAI Log(q <br />_ S6MNW CIrIRIrAi ArMNwI <br />_ OMrt <br />A ITACH ADL4nONAL WFVPR AnOI1 IF TV EN,STS. <br />_ <br />CERTIFICATIOS S'IATEAIF.N'I <br />I, Los undersigned, conity that this rsport Is oornplele and ac0urate 10 trio best W MY knowledge and Dollar <br />WARE _— <br />INRSDN, RRN DR [OiPdUIDNI IIY%D W IMM[DI ----- — — <br />ADDRESS <br />C IY <br />Sfi --- SIAL( 7e <br />WELL ORMtUNIINDRIHR <br />SN:N[D C.51 I V.rNSf NLIMRIP <br />> Dns 11.0,1117 IF ADpD10NAl SPACE IS NEEDED, USE NEXT CONSECUTIVELY NUMBERED FOR1 11 <br />M <br />Naseem Ahmed, Environmental Health Trainee <br />Record ID WP0037337 <br />Page 1 of 1 <br />