Laserfiche WebLink
ORIGINAL WATER WELL DRILLERS REPORT Do Not F:il In <br /> ' <br /> File Original,Duplicate and Triplicate with the <br /> REGIONAL 'WATER POLLUTIONNp 48185 p S�J _ <br /> (Sections 7076,7077,7071,Water Code) 1� U <br /> 'ALN <br /> CONTROL 5 STATE OF CALIFORNIA State Well No.— <br /> BOARD No _ Y Y <br /> `earl appropriate tssnnber) Ocher Well No <br /> (1) OWNER. (11) WELL LOG: <br /> Name Burchell Nursery Total depth 1-14 it Depth of completed well 114 f <br /> Address 7ufac TiSLCi e s to 0 Cal, fQ m i A � Formation Dereribe by color,ch"ore",stse of nt ?errs? e�sd rlrsrtope <br /> � IQ it to 6 it To So i1 <br /> Pan <br />' (2) LOCATION OF WELL: a r <br /> County S tan 1 S&aU.S Owners number iiany— Sajid <br /> A F D or Street No 4A 50 a <br /> Near N. W. Corner of d z% <br /> 4 Clay <br /> 314 Sand. �S <br />' (3) TYPE OF WORK (check). <br /> New well [X Deepening ❑ Reconditioning ❑ Abandon ❑ <br />' 1 f abandonme"1,desrrsbe rnaterra!and procedure in Item I I <br /> (4) PROPOSED USE (check): (5) EQUIPMENT: <br /> Domestic ❑ Industrial ❑ Municipal ❑ Rotary ❑ <br /> Irrigation ® Test Well ❑ Other ❑ Cable ] <br /> Dug Well ❑ <br /> (6) CASING INSTALLED. If gravel packed <br /> SINGLE® OOUBLE L Gage <br />' Diameter from to <br /> From h to it Dram Wall of Bore it ft <br /> 0 12 <br /> Type and aim of shoe or well ring 12x5—8x4 Size of gravel <br />' Describe pine We 1 de d <br /> J y <br /> (7) PERFORATIONS: <br />' Type of perforator used None <br /> Size of perfarapons is length by in <br /> From fr to it Perf per row Row.per it <br />' (8) CONSTRUCTION: <br /> Was a$"face sanitary seal provided? ❑ Yea ❑ No To what depth ft <br />' Wen any strata sealed against pollution? ❑ Yea ❑ No If yet,note depth of strata <br /> From it to ft <br />' Method of Sealing Work started Jan 92 <br /> 19,927Completed Jri- I9 <br /> (9) WATER LEVELS: WELL DRILLER'S STATEMENT <br /> This well was drilled under my jurisdiction and this report is true to the best of <br /> Depth ae which water was fiat found 38 it my knowledge and belief <br /> iding lerel before perforating it NAME 09 Yf�1'rh89eg <br /> ..landing level after perforating it -- - (perronhim ureo+ct,ra non l i 777or firfnrrd) <br /> Address Rt. 7 Box 1520 <br /> (l o) WELL TESTS. <br /> Modesto , C&Itfornia <br /> Was a pump cert made? Yea 0 No If yes,by whom? [SIGNED] y <br /> f <br /> Yield gd/min with ft draw down after Us bra C Wr[I <br /> Temperature of rater Was a chemical analysis made? ❑ Yes EDR No Ls[tns!NO 7245 <br /> Datld , ]9 <br />' 'Was electne log made of well? I] Yet C3 No 956x9 9 Se 50M QVIN O 51 12 DWR FORm No 248 (REV 3 64) <br />