Laserfiche WebLink
w n 1 r.i- W r LL IJ K LLL.L.&b Rt.PURT Lo Av ui sac In <br />File Original Duplicate and Triplicate with tits(setNQ 32646 <br />a... 707 Water 7071 ater Cad.) <br />REGIONAL WATER POLLU'T'ION <br />STATE OF CALIFORNIA State Well No <br />CONTROL BOARD No�_. <br />(f.srre .pproprr.tr nans.bnJ W FM Other Well No-__.._....... � + <br />(I) OWNER. <br />Name The Nestle Co„mugnz: <br />Address 2 tiN z 1 1 i am Stree t _ <br />White Flains Flew York <br />(2) LOCATION OF WELL Ripon <br />c—ti ,S = <br />an tJ o a C u In Owner r .amber tf ao7— <br />A F D or Street No100ft. & 100 F <br />7, Qnnner of' Section <br />T 2 S. ---R. 8 E. <br />(3) TYPE OF WORK (check) <br />New brei] 2� Deepensng ❑ Reeandtttonmg ❑ Abandon ❑ <br />If .baudoisment descrsbe rnatenai and procedure I” Item 11 <br />(4) PROPOSED USE (check) (S) EQUIPMENT. <br />Domestic ❑ Industrial Municipal ❑ Rotary L❑ <br />Ir_lgauon ❑ Test Well ❑ Otner ❑ Cable <br />Dug Well r] <br />(6) CASING INSTALLED <br />SINGI-E E] DOUBLE Gage <br />or <br />From it to is Dt.m Will <br />0 1 %0 14 12 <br />If gravel packed <br />Demeter fr.r. to <br />of Bore fc ft <br />Tlpe sad ,u of shoe or -ell naa x 6 1 _ size of a—ai <br />n"Mba scant Welded <br />(7) PERFORATIONS. <br />Tfpe of perforaev- turd N one <br />S1Ze of oerfarannaN M leaath br sa <br />Frorn ft to ft Peri per X... per it <br />' (8) CONSTRUCTION: <br />mu a ca i.m tanerar7 rel provided? Cl Yea ❑ No To what depth !t <br />Vere car urau Nealed .,strut pollacion? ❑ Yea ❑ No If 7n .au depth of attar. <br />From ft to ft <br />Method of Sealing <br />' (9) WATER LEVELS: - r <br />Depth it -hash Baur cru first fond - 30 ft <br />S`.dm1 lrvsl before perforanna <br />tandmg level .fur partoraung ft <br />10) WELL TESTS <br />VPi <br />aa a pomp tit made? M Yea ❑ No It res by .ham? r <br />Yield 200 gay /ease -it'- „; ri it draw do-. after Q hn <br />Ter.perat— of mater V a. a cha&iani ..slew madd ❑ Ya ❑ No <br />' E'as eI-tr,c log made of -.11T ❑ Yea ❑ No <br />( I I) WELL LOG <br />Total depth 0 <br />it Dspth of completed _di 15G <br />Formauo. <br />D,.—,b, by color c6.rictrr, nu of —s -i.1 .nd arors.re <br />Et to S, ft 1 1 <br />7 <br />CT ay <br />S d <br />IQ <br />12 <br />rd Pan <br />20 <br />28 <br />Sand <br />28 <br />34 <br />Cla <br />38 <br />Sand <br />3 <br />dF7 <br />Cia7 <br />dA <br />,v <br />j n nd <br />5e <br />60 <br />Clav <br />d <br />G -ave, <br />r d <br />5 <br />65 <br />80 <br />Saeid <br />80 <br />83 <br />C1 a- <br />� <br />91 <br />Sand <br />�1 <br />93 <br />Cla <br />O� <br />01 <br />S <br />1 <br />Se t -;and <br />1 <br />1 <br />106 <br />111 <br />Sand <br />ill <br />150 <br />Clav <br />150 <br />San d <br />WELL DRILLER'S STATEMENT <br />I'bss well mal drilled unaer ray furrsdretwo avid ibis report a true to the bent of <br />my kaowledgr sad belief <br />NAME Osterberg & Carroll <br />(Peres. hem r.r carponu..j ITyprd w Drsasel) <br />Add mis <br />Rt. 7 Box 1520 Modesto., <br />[StcNED) <br />x.11 nr! <br />License No. e,3L�j_-- Dated <br />93669 3 84 3oM QUIN Q ■Pr} DWR FORM No 248 (REV 3 soy <br />.l <br />Work started 6 <br />(2 7 <br />f 5 5 19_ <br />Completed 7/q/, /, 5 , If ' <br />WELL DRILLER'S STATEMENT <br />I'bss well mal drilled unaer ray furrsdretwo avid ibis report a true to the bent of <br />my kaowledgr sad belief <br />NAME Osterberg & Carroll <br />(Peres. hem r.r carponu..j ITyprd w Drsasel) <br />Add mis <br />Rt. 7 Box 1520 Modesto., <br />[StcNED) <br />x.11 nr! <br />License No. e,3L�j_-- Dated <br />93669 3 84 3oM QUIN Q ■Pr} DWR FORM No 248 (REV 3 soy <br />.l <br />