My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ARCHIVED REPORTS XR0011299
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
D
>
DURHAM FERRY
>
1600
>
3500 - Local Oversight Program
>
PR0544624
>
ARCHIVED REPORTS XR0011299
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
7/3/2019 7:13:03 PM
Creation date
7/3/2019 3:49:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0011299
RECORD_ID
PR0544624
PE
3526
FACILITY_ID
FA0005206
FACILITY_NAME
GEORGES SERVICE
STREET_NUMBER
1600
Direction
W
STREET_NAME
DURHAM FERRY
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
25510004
CURRENT_STATUS
02
SITE_LOCATION
1600 W DURHAM FERRY RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\wng
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
57
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
LQ <br /> ORIGINAL WATER WELL DRILLERS REPORT " no of rn <br /> Fife Original,Duplicate and Triplicate wird the (s•ruoas rale,7077,70711,mats Cad.) 5c:ce pP�i No <br /> DIVISION OF WATER RESOURCES -� _ <br /> P o sox 1079 STATE OF CALIFORNIA—DEPARTMENT OF PUBLIC WORKS ! <br /> SACRAMENTO S CALIFORNIA DIVISION OF WATER RESOURCES <br /> I Region <br /> DRILLER- person, m r rporacion) (S) LOC ION OF LL• i <br /> Wame i a Cuaaa <br /> Address T'p It F P or Street No yi 1ZX 7 _ <br /> OWNER 6 I ' rl-1y� / ' <br /> Name <br /> `� 4, /fr l� i AuC' <br /> Address (9) WELL LOG: �f 1 <br /> Torsi depth of Weil <br /> Formauoo Mention nze at nater ara+el-- <br /> it + <br /> (2) Proposed Use (Check) Equipment <br /> Domestic [ Industrial ❑ Cable <br /> f` <br /> Irrigation ❑ Test Well ❑ Dug Well <br /> Muruclpal ❑ Other ❑ Other ❑ f-V <br /> ♦ 1,41e <br /> (3) CASING: 44�f v <br /> _ <br /> it of sn r fib"/3x tattng left in .yell F t <br /> Typo and sate of Aas at well rang ' r <br /> f 4) PERFORATIONS: J <br /> rise of perforator Wed <br /> Perforated ft to �-�—+ ft holes per an <br /> ,r <br /> Diameter of perforations as length in <br /> (5) WATER LEVELS <br /> Was electric los made of wail? I] Yrs L. No If+es Attach Copy <br /> Depth at which water was first found f _ ft <br /> Standen` le+e1 before perfontung r i ft <br /> Stawdm; level aFter psrfonnn; <br /> ft , <br /> Nota your ohaervataon of any change an water level whale drips"; <br /> Iris s surface sanarnry seal provided? r •Li � �-`�.��'��� <br />' (6) WELL PUMPING 'T'ES'T' 'Work,carted I JL completed 4-7C/4 13 IP <br /> r <br /> capancT cal/men ft draw down Darr of Report <br /> WELL DRILLER S STATE ENT <br /> W30 well gravel packed? This well was drilled tutder my lurerdrrtron and tbrr report a tear to for <br /> sera any stat■sealed agaanst pollution? of rosy ktrowledge imal beilet <br /> Attach <br /> s emparracure Vas a eheenaeal ansilys.s made? copy tSIGNED <br /> ®dl Driller <br /> if ahandonsd was veil capped? <br /> By <br /> (7) TYPE OF WORK (check)• License No elamficatlon �— <br />' New well A Reconditioning of veil ❑ Dated 19: <br /> Deepening exx3cing Well ❑ 46370 7 31 lam'JUIN 0 apo <br />
The URL can be used to link to this page
Your browser does not support the video tag.