Laserfiche WebLink
L-->OMGMAL WATER WELL DRILLERS "PDo Not dill In <br /> ORT ��^U <br /> File Original,Npiicate and Triplicate with the (sectio.,7074S,7077,7078,avatar Coda) l��� . 96633 <br /> REGIONAL WA'T'ER POLL ON STATE OF CALIFORNIA � state Well No.R�_-1�.�.-�-- <br /> +}-t <br /> !CONTROL BOARD No _ `� Other Well No.- A,-1. �.____"�_^___ <br /> ( 'rpproprtsh.�mGrr] �� b <br /> i f <br /> (1) OWNER: (11) WELL LOG: C <br /> { Name Y, 0 Cx� yVY%;k Tonal If Ik 1 f;p fr. Depth of completed well <br /> Address Fnrmxciun: Urrr+ibe fyy color,rh.rerlrr,alar of ole"a?,o d tlrssrl are. <br /> cl <br /> (2) LOCAION OF WELL:T�1. U <br /> el C. Owner's number,if any— <br /> R. ., <br /> f F.D.or 5—,,No. '4� c <br /> i ,[ II 3 <br /> I S <br /> (3) TYPE'OF WORK (check): <br /> New well.21 Deepening © Reconditioning ❑ Abandon Q / d ii ? <br /> e 1t aha-ndonment,describe material and procedure in Item 11. 1 ? <br /> (4) PROPOSED USE (cbeck): (5) EQUIPMENT: " <br /> Domestic Industrial ❑ Municipal ❑ Rotary <br /> Cable ❑ i <br /> Irrigation ❑ Test Well ❑ Other ❑ Dug Well ❑ <br /> (6) CASING INSTALLED: If gravel packed <br /> SINGLEK DOUBLE:_ Gage !; •_ <br /> rr Diameter from m <br /> of Bare ft, ft. <br /> From ft.r01V fc.i!/tl "Di-no. ��-_ :E <br /> it <br /> Type-nd si"of+hoc or well ring Size of grovel: I t <br /> Describe joint _I •_ •• <br /> � . <br /> (7) PERFORATIONS: <br /> Type of perforsmr tesed <br /> Size of pesforatioos a.,ienxth,by in. S 4, <br /> From {[,in fr. Nef,per <br /> I .. .. .. ,. .. .. . i .. -' .. `� •Coff �* <br /> ��f (S) CONSTRUCTION: <br /> �Yss a surface sanitary Deal prodded? H� Yea 1-1 No To whit depth ft. ,• w w <br /> r •+^- . ..:. \ _ <br /> I lir h! i 1.-S U!'':L S <br /> Were any strata seaied against pollution? Ej Yee D No if yes.note depth of,trato = <br /> From ft.to © ft. A <br /> II Method of Sealing Work ttx,ted l i9 ` Compieted 19 <br /> C - -- <br /> {9) WATER LEVELS: WELL DRILLER'S�STATEMENTT: <br /> — This well was drilled under my jurisdiction and ibis report is true to the best of <br /> Depth at which water wan.first found 7 O ft, my knowledge and b r�] <br /> f> ,►',!f�!1_(�1.{ !7 r,!`.I t'�! <br /> i --•�dinx Ictrd before perforarina ft. NAME �p ,'T 9 L k E i t i :1 i �-= �- '' l i t`�•o <br /> Iiat I—eV.fter perforating <br /> Address STnr`ptiTON �. C �41.._i'.Un��ii;a j <br /> (10) WELL TESTS: <br /> i. <br /> Was a pump tete made? ❑ Yeta :f yes,by whom? f <br /> Yield: xtl./min. with ft.draw don. after bre. <br /> Temperatare of water Wan a ahemiak sa.lyeis made? ❑ Yn [ Ne License N ____._.._ d---f•.--�- - -.-/•-�-----s-f94�- <br /> W'.electric lox made of well? EJ Yes [>01. <br /> 67020 6_57 tlota UocN 61 eP0 VLJ bWR 188 (REV.3.947 <br /> J <br />