Laserfiche WebLink
2- <br /> STATE OF CALIFORNIA r - - •" Do Not .dill In <br /> THE RESOURCES AGENCY <br /> ORIGINAL DEPARTMENT OF WATER RESOURCES 1��►I <br /> ? 89320 <br /> File with DWR <br /> WATER WELL DRILLERS REPORT State Well No. <br /> Other Well No. — _ <br /> (1) OWNER: (11) WELL LOG: r T <br /> Name Total depth 111 fE. Deprh of completed well 65 ft. <br /> Address Formation: Describr by roior,eb—acier,jjze of rnatertol,and uructure <br /> Tracy, Calif. ft.rn it. <br /> (2) LOCATION OF WELL: Log <br /> couniv San Joacuznc owner a number.if any Well 1 <br /> ry'I <br /> Township.Range,and Section 32S iR5E4-19 c1ly <br /> &W Distance from cities,roads,railroads,etc. Chrisman (.)C L_' Q ,,,a2 <br /> (3) TYPE OF WORK (check): 2-9-W <br /> i.r New Well X] Deepening (:) Reconditioning ❑ Destroying10-46 <br /> a <br /> If destruction,describe material and procedure in Item 11, 46-67 S <br /> and & Gravel <br /> (4) PROPOSED USE (check): (5) EQUIPMENT: —1 <br /> Domestic K Industrial ❑ Municipal ❑ Rotary ® 102-103 Sa3ad <br /> Irrigation ❑ Test Well ❑ Other Cable 1 Clay <br /> Other ❑ <br /> (6) CASING INSTALLED: <br /> +� STEEL:X OTHER; If gravel packed <br /> SINGLE Z] DOUBLE <br /> Gage Diameter <br /> i.r From ha or ofFrom To <br /> ft. It. Diam. Wall Bore ft. ft. <br /> 65 <br /> aro <br /> Slxe of shoe ar well ring: Size of travel: pep <br /> Describe iamt <br /> ,r (7) PERFORATIONS OR SCREEN: <br /> Type of prrfora—n o of srr. a ~ <br /> a e <br /> Perf. Rows <br /> ager La <br /> From To per per Size <br /> it, ft. row fr. in.x in. <br /> !I <br /> I� <br /> (8) CONSTRUCTION: <br /> Was a surface sanitary sea]provided? Yes X No ❑ To what depth 30f,. <br /> Were anv strata scaled against pollu[ian? Yes 0 No Q If yes,note depth of strata <br /> From f[.ro ft. <br /> 1..9 Frum fr.to f[. Work started 19 .c mpieeed 19 <br /> Method of se.line -M WELL DRILLER'S STATEMENT: <br /> 9 WATER LEVELS: This well was drilled render my jurisdiction and this report is true to the best <br /> ( ) of my knowledge and belief. <br /> 60 Deptb at which waver as firer found, if known ft. T <br /> Standing level before perforatins[. if known ft. NAME Hennings Br lin CO Inc <br /> Standing level after perforating and developing ft. (Terson,firm,or corporation) (Typed or printed) <br /> (10) WELL TESTS: Address 2500 W. Rumble <br /> ..pump Eesc made? Yea ❑ No lK If yes,by vhomt <br /> [ a <br /> v s Id: g.l.l mip. dr—down ft.dnwdan afar hes- [SIGNED] <br /> _ <br /> —a (Wr11 Drilf <br /> Temperature of water V.—a chemical analysis made? Yrs ❑ No]El 11 <br /> X999 Vias electric l06 made of veli? Yes ❑ No M If yes,.each copy License No. 1161PP Dated 9-26 .119-73 <br /> -• SKETCH LOCATION OF WELL ON REVERSE SIDE <br /> I.r <br /> DWR 188 (REV.9-681 23179_960 9-66.Oaa TRIP AD 06P <br />