Laserfiche WebLink
JORILINAL STATE OF CALIFORNIA Do not fill :n <br />f THE RESOURCES AGENCY <br />Hie with DWR DEPARTMENT OF WATER RESOURCES No 206209 <br />�N ( Ment No 24595 WATER WELL DRILLERS REPORT <br />State <br />rmit No or Date Wcl] tin <br />Other Well No C `•'/�S <br />'1TJ OWNER V,n,e Nestle Foods Corporation <br />Address 230 Indus trial Avenue <br />city R1Don, CA zip 9536 <br />�(2) LOCATION OF WELL ( See Instructions) <br />County Owners W ell Number M- 10 B <br />Well address if different from above <br />Township 7 Ranee SeCtlan OO <br />Distance from cares roads railmads fences etc <br />J (12) WELL LOG Tntaa depth 43 ft Depth „f completed well42 ft <br />fn m+ ft to ft Fnrmatinn (Descnbe by color Lh-imLter size ur maten,l ) <br />See Attached Log <br />�( 9) WELL SEAL <br />- <br />5 <br />a, surface sanitary sea' provided' Yes [f No ❑ If yes to depth •,-fit <br />(3) TYPE OF WORK <br />Were strata sealed against pollunon? Yes No ❑ Interval 5-18 _fit <br />- <br />New Well X Deepening Q <br />Work started I9 Complet U14l t�— <br />See Attached Map <br />Reconstrucann 0 <br />Depth of first water if known fr <br />-•--••• <br />This well was drt!!td under my purvdeetion and this report a loge to the best of my <br />Standing level after well completioti <br />Reconditnimnl, <br />knowledge and belle{ <br />II) WELL TESTSy <br />Sicvm <br />Horizontal Well 0 <br />(\Yell Dnller ) <br />LAYNE—WESTERN CO. INC. <br />ype of Pump ❑ Bailer (: Air Irft [] <br />Destiricnan ❑ (Describe <br />Depth to water at start of test R At end of teat <br />ft <br />P fi or co on l (Typed or printed) <br />�"°�arTley'.nalysis <br />destruct -son materials and <br />AddressT50 <br />Yes �' No If by Canonle <br />procedures in Item I-,) <br />Coy Fontana CA <br />made° �yes whom' <br />�,-,sal/min <br />(4) PROPOSED USE <br />r -- <br />License No mate of this repo <br />Domesnc G <br />NEXT CONSECUTIVELY NUMBE=RED FORM <br />Irrigation ❑ <br />Industrial ❑ <br />Test Well ❑ <br />Stock 0 - <br />Municipal Q <br />WELL LOCATION SKETCH I <br />Other Monitoring (X <br />(5) EQUIPMENT <br />(B) GRAVEL PACK <br />Rotary <br />r, Reverse C] <br />Yes [x No © Size #3 <br />able <br />❑ Air [ <br />Diameter of bort: 9 lIICh <br />OtherQ <br />Bucket ❑ <br />Packed from..1$ to 43 <br />7) CASING INSTALLED <br />(B) PERF'ORA77ONS <br />Leel © <br />Plastic [ Concrete ❑ <br />Type of perfasaboo or size of screen <br />From <br />To Dia Gage or <br />From <br />To SIot <br />ft <br />ft In Wail <br />ft <br />ft size <br />a jSch.4C <br />22 <br />42 J .010 <br />J (12) WELL LOG Tntaa depth 43 ft Depth „f completed well42 ft <br />fn m+ ft to ft Fnrmatinn (Descnbe by color Lh-imLter size ur maten,l ) <br />See Attached Log <br />�( 9) WELL SEAL <br />- <br />5 <br />a, surface sanitary sea' provided' Yes [f No ❑ If yes to depth •,-fit <br />Were strata sealed against pollunon? Yes No ❑ Interval 5-18 _fit <br />- <br />ethod of sealing <br />Work started I9 Complet U14l t�— <br />IO) WATER LEVELS <br />WELL DRILLER'S STATEMENT <br />Depth of first water if known fr <br />-•--••• <br />This well was drt!!td under my purvdeetion and this report a loge to the best of my <br />Standing level after well completioti <br />knowledge and belle{ <br />II) WELL TESTSy <br />Sicvm <br />Wu well test made2 Yes 7, No LX If yes by whom? <br />test <br />(\Yell Dnller ) <br />LAYNE—WESTERN CO. INC. <br />ype of Pump ❑ Bailer (: Air Irft [] <br />NAME <br />Depth to water at start of test R At end of teat <br />ft <br />P fi or co on l (Typed or printed) <br />�"°�arTley'.nalysis <br />after hours Water temperature <br />AddressT50 <br />Yes �' No If by Canonle <br />Coy Fontana CA <br />made° �yes whom' <br />�,-,sal/min <br />452609 <br />Q1 <br />log made' Yes No If i es attach copv to this report <br />License No mate of this repo <br />tREV T Tei IF ADDITIONAL SPACE 1S NEEDED USE <br />NEXT CONSECUTIVELY NUMBE=RED FORM <br />' 6 <br />