Laserfiche WebLink
r <br /> ORIGINAL STATE OF CALIFORNIA Do mt fiU} <br /> THE RESOURCES AGENCY <br /> File with DWR DEPARTMENT OF WATER RESOURCES NO. 216093 <br /> of Intent No WATER WELL DRILLERS REPORT State well No <br /> ermit No or Date Other Well NoQ1a� <br /> (1) OWNER Yam.0 H 2 M H> 1 1 0 1CfL Yrs (12) WELL LOG <br /> Total depth �ft Depth of completed well r <br /> address C final ft to ft Formztion {Describe by color character size or material) <br /> c1ty V <br /> zia <br /> (2) LOCATION OF WELL (See inctnictions) 8 124 Brown clay <br /> cr>unR San Joaquin Owners W ell :cumber 054- <br /> NN,ell address it different from above 0 f F S o n o r a Stockton 3 b - 58 Blue C l a ` <br /> Trr%vnship 11`1 Range b E -Section- 58 87 Sand <br /> Ul'tance from cities mads railroads fences etc 87 - 1 0 3 B 1 ti e:-,C l a <br />' 103 - 120 Grave_'I:S Blue clay <br /> 120 133 Gravel <br /> (3) TYPE OF WORK - <br />' New Well 9S Deepening ❑ /- <br /> Reconstruction ❑ \ ,\ <br /> See Map Attached Reconditioning ❑ _ <br /> Horizontal Well ❑ \ �L. _ - <br /> Destruction ❑ (Describe <br /> destruction materials and', <br /> Procedures in Item I2.y <br /> (4) PROPOSED USE' <br /> I Domestic ❑ ice/ _ - <br /> Imgation ❑ _ f <br /> Industrial \ ❑ . <br /> Test Well ❑ <br /> Stock I [y �V' <br /> Municipal 0 <br /> WELL LOCATION SKETCH OtherC31(3) EQUIPMENT (6) GRAVEL PACK - r <br /> Rotary a Reverse ❑ Yes Q No 0 Size 1 2 0 S a n d _ <br /> able I-,1 Air1 0 tt - '- <br /> ❑ Diameter of bore <br /> her ❑ Bucket ❑ Packed from 0 to 1 1 3 pt <br /> (7) CASING INSTALLED (S) PERFOR 4LTIONS <br /> Steel 70' Plastic 0 Concrete,❑, Type of perforation or size of screen <br /> From To Dia Gage or From _To Slot <br /> ft ft in Wall ft ft size _ <br /> 0 130 4 250 115 130 20 - <br /> (9) WELL SEAL - <br /> tv:vsurface sanitary seal provided Yes '$)X `o C3It ves to depth I I ft <br /> strata scaled against polluhonO Yes ❑ No ❑ Interval _ _R <br /> ethod of seaLn -" Work started <br /> 1 1 -22-.$ZI9 Completed <br /> { WATER LEVELS <br /> ePt WELL, DRILLERS STATEMENT <br /> rpih of first water if know This ball etas drilled rider m <br /> tandintr level after well � mpleuun 'Z ' ft r kneWredBe and u TUr drehon ea repo true to the bels o} my <br /> 11) WELT. TESTS ;, Cl <br /> y`la <br /> Was welt test made' Yes 0 No g If yes by who ( D r) <br /> F of test Pump C Sailer C [ Air ' �r n NAME Diamnnde hto water st start of test-_ it At��n�i of teat , e`�o firm or ca tion) (Ty priated) <br /> , ddr 10 ril'etunla Fane <br /> e �al'min after_ hours Water`t4!Tdkratur_" eq— -- - - — <br /> analysts made? Yes Vo ~s y Ci 1 P a O C e d r O CA 9 A n 3 <br /> ❑ $j'+k If Yes by who l tY�� s <br /> ilectne ]nq made? Yet Q 'Vo L"X If S es attach cop r,0� c N., ,5 1, 2 4 0 b nate of this report — <br /> wR 188 4rrev y lei IF ADDITIONAL SPACE ISN 6XT.CONS ECUTIVELY NUMBERED FORM <br />