WORK PLANS - Laserfiche WebLink

Home Browse Search

" 9 ORIGINAL 'I is Drit,inal, Duplicate and Triplicate with the SHEET 2 t DIVISIOd OF WtTER RESOURCES P. O. BOX 1G , s r SACRAMENTO 5 , CALIFORNIA WATER WELL DRILLERS REPORT Do Not Fill In --. - If _ __ : - ' - - State Well No..---'--__,;-_'__`--. __-- (Sections 7075, 7077, 7078, Water Code ) Other Well No. I Region---------------- ----` ( 7 ) Pokferahio4ts _ Type of perforator used-------------------------------------------------------------------------------------------------------------------------------- --- -------- Perf##,* ------------------ ------------ Perfd#,* .. -------------f t. to----------' ft. Hole size-----'---- ------------'-------No. of holes------- ----------------------- 32 -- - — i u a » $2 „ » ----------- ---------------- - • � -::�, � , ,. - --r-------- 31 Z3 PIP 32 3V 19 -------------- -- --- -- ,3 » 23 --- ------------- - „ ------------------------ 51 ----=------------------------ „ ----------------- „ ------------------------ „ „ -----------------w_---------- „ „ » » „ - --------------- » » --- -- --------- -------- - „ » » » » r l ( 8 ) Water levels : ( 9 ) Well pumping test : I i 1 Depth at which water - Date of test-------------------By whom first encountered.-------------------- ----—17--------ft. Depth to water when test started -------- -------------- .- ------------- ---------------ft. I Depth to water G.P.M. at beginning of test-------------- ---w---------- --------_-----_- ----- before perforating_---------------------------------__-f t. Drawdown from standing level______---------------------------------------- _------- Depth to water G.P.M. at completion of test----------------- _______ after perforating----------- _-_-_-_--_--_.fE. Drawdown at completion of test-------_-------------------------- ---------------- --- ft. Note any change in water level while drilling Length of time tested----_---------------------- ---________- ._____-._.___..._.-_---_ ---------------------------------------------- Temperature of water----------------------------------------------- Was gas present in water? ❑ Yes ❑ No CI ( 10 ) General : I _ Was well gravel packed ?-------------------- --------------Size of rock ____Thickness of pack -------------------_-------- ---------- Was ______ - ` Was a surface sanitary seal provided?____---------------------- ----------------------------------------------------- Were any strata sealed against pollution? ❑ Yes ❑ No If yes, attach detailed description. iStrata sealed-------__.______-------.-------------------------------------- -------------------------------------------_-------- Was analysis made of water? ❑ Yes ❑ No If yes, attach copy. ' - Was electric log made of well? ❑ Yes ❑ No If yes, attach copy. _ If well abandoned, was it plugged and scaled?---._-____------- -------_---------- .----------------------.----------------- - jMethod of plugging and sealing---------------------- -'------------------------------------- ( 11 ) Location : _ ( 12 ) Time of work : - North Section No._________`---__._..____ Work started dace 3'15=5.1 -Completed date- 3=1.5-5.1 Township-------- ----=------------- Date of this report----3-27-=51--- ----- ------ ------ ------- Range. ------ iRange.---------------- --- -------- Base --- Base & Meridian_----------_ ----------- WELL DRILLER'S STATEMENT : Show location of well in Sec- This well was drilled under my jurisdiction and this tion, thus ( X ) report is true to the hest of my knowledge and belief. Distances to section lines from Stockton Armature & Motor Works well, N or 5____ Y_____ .ft. QSiGNEuf --------- ------------ . - ^`-'_`__ft. Well n.ui . and. E or/W- ! Show location of nearest - Bye___-mo ------ C` '- ___-_ 0 -57 known well, thus (0 ) License No. 6785_.._Classification.._._______- t MILE Distance to nearest known , well--------- ----------ft, Dated---- --- - - -- '?-- . .. - � --- ._ , 79_3.7 O .W. R . FORM No. 246 REGIONAL WATER POLLUTION CONTROL BOARD COPY 239,23-5040M -WXSPO