Laserfiche WebLink
�r STATE OF CALIFORNIA ?.- /._,,.., - Do Not Fill Ira <br /> DUPLICATE THE RESOURCES AGENCY— - -- - -- - q C-7 <br /> amain this"Pir DEPARTMENT OF WATER RESOURCES 5 1 N? 1 6 C <br /> WATER WELL DRILLERS REPORT Stare Well No— <br /> Other Other Well No 76-50?q? <br /> (1) OWNER: _ (u) WELL-LOG: <br /> Name Del Auch TOW depth 185 n D[prhorromplet<drdl 12 <br /> Address 3 L ncoln B$nd <br /> • For <br /> mason: Dmr.i6 by colo,rh reeler,,er o/wep.iel,er/.nrremr <br /> —L—racy,-L-racy, Cali£. <br /> (2) LOCATION OF WELL: � 0-y f[.t. Sandy soil <br /> 7— O Clay <br /> San Joaquin Drner•t nemb r.if any 0- 0 Sand <br /> TYrmhiv.Ranee,and Senim 0— 2 Cla <br /> Di[unc.from ei,ies,road•.­,wads.etc. 215 S. Man h d — 2—. 0 Sand—blue <br /> South of F ench Camp Rd.- we 0— 0 Cla <br /> (3) TYPE OF WORK (check): 0-10 Rlue sand <br /> New Well ® Deepening ❑ Reconditioning Cl Destroying ❑ 10 -1 1 Cle <br /> _ If dnhweNoo,describe material and Procednrrin Item IL } 1.1 —12 Sand <br /> (4) PROPOSED USE (check): (S) EQUIPMENT: 12 —148 <br /> C la <br /> Domestic ® Industrial ❑ Municipal ❑ Rotary Blue sand <br /> Irrigation ❑ Test Well ❑ Other ❑ Cable ❑ 1'. —1 8 Blue cls <br /> Other ❑ <br /> (6) CASING INSTALLED: <br /> STEEL: OTHER: If gravel packed <br /> ,— SINGLE F] DOUBLE O <br /> Gage Diam<ar <br /> From 'i'o or of From To <br /> fs. It. Diam. Wall <br /> 0 12 61601 <br /> r $or uI•hoe Y tell <br /> Uercribe Win[ <br /> abled <br /> (7) PERFORATIONS OR SCREEN: <br /> rem Yr......,wn ee. orrc : <br /> Pelf. Raws <br /> Front To per per SiZe <br /> ft. f[. row ft. im s in. <br /> 115 <br /> (s) CONSTRUCTION: <br /> _ <br /> W's a.urfaee unitary Mal provided? Yes Q Im Q To that depth50 It. <br /> W.....y cacao•mled.rain"pollution? Yea❑ No❑ If yes."ate d[p[h of...... <br /> From ft.to It. <br /> Fr_ ft.m ft. Work.....ed! _2 19 6 •Gmplemd 19 <br /> r. Method of seat"[ Bentonite WELL DRILLER'S STATEMENT: <br /> (9) WATER LEVELS: This wrll wes drilled under my jurisdiclion and 1bn rrporl is Ivor 1. the b. <br /> Depth a rhmh r we, 6n. found, it h..r. of my knowledge and belief, <br /> f[. <br /> Sla.din[ leeel bcf.r. ",to...;.a. if .-re - fa. NAME Hennings Bros. Drillin Co. Inc[ <br /> $undln level after rrou[iO, and I...lo,m, irA f, IPnton,Gem,or corpnca[ioe) (TYNI or pial./) <br /> (10) WELL TESTS: Addeo.. 2500 W. Rumble Rd <br /> _ Wes pump[o[trade? Yet ❑ No CX If Y...by rh.-? Mode St0 - 1if• 0 <br /> Yield- Ral./min.rich L.&—d—.after hes, [SIGNED] <br /> Tempornme of..tee Was a chemical analysis made? Yes ❑ E (Wdl Drill / <br /> Ova Jecelic log made of rdb Ye• ❑ N 81 <br /> No ffi If yu,ouch[ovr License No. 290Dated -28e <br /> _ 19_L <br /> SKETCH LOCATION OF WELL ON REVERSE SIDE <br /> DWR 18B [wcY. 9-cep <br /> [-la DOM Tap(1>r O! <br />