Laserfiche WebLink
LIGINAL STATE OF CALIFORNIA Do not fill in <br /> THE RESOURCES AGENCY p� <br /> He with Omit DEPARTMENT OF WATER RESOURCES No. 120338 <br /> Intent No WATER WELL DRILLERS REPORT State welt'vo <br /> TTetmit No or Date Other Well No <br /> 1) OWNER ,ne Nanc (12) WELL LOG Total depth ft Depth of completed we11245 _fr <br /> lddres 18456 '2-. Hwy. 88 from It to ft Formation (Descnhe by color character size or material) <br /> t,Lockeford Ca. Zip 0 - 6 Top Soo12' ) LQCATLON OF.WELL (see instructions) 6 - 20 Me Ern. clay <br /> County an i�J 3aquin_ Owners Well Number 20 ^ 23 San HO @ <br /> ell address if different from above Same 23 - 50 San y� rn• clay <br /> ownship T4N Range R7E Sectione ♦ rn• a <br /> s <br /> • brn. <br /> Clay <br /> istance from cities mads railroads, fences etc ` <br /> QaRt me Hwy 88/ Y • �. <br /> 131- 2 • o <br /> IL 131t UP <br /> \ tt, brn. <br /> clay- <br /> (3) TYPE OF WORK - <br /> LLI <br /> t 58t5 -176 Sandy brnNew Well C] Deepening ] • <br /> Reconstructinn ❑ JL fv_ t79 Pink clay <br /> Reconditioning ❑ • brn. <br /> Horizontal Well ❑ - • <br /> 215 220 Pink elay -eslrEa <br /> Destruction ❑ (Describe <br /> destruction matenals and <br /> Procedures in Item 12) 235 236 Meda hirn. sand <br /> (4) PROPOSED USE 236 241 Gemented Eeek- n <br /> Domestic = M <br /> Irrigation ❑ ^ <br /> Industrial ❑ <br /> Test Well ❑ _ - <br /> Stock I3� <br /> Municipal ❑ ' <br /> WELL LOCATION SKETCH J Other - ❑ <br /> 5) EQUIPNIE14T (B) GRAVEL PACK <br /> Rotan Reverse ❑ les ❑ \o ❑ Size <br /> ible Air ❑ Diameter of bore - - <br /> )ther ❑ Bucket (✓ Packed <br /> t7) CASING INSTALLED - (8) PERFORATIONS - <br /> Steel Plastic ❑ Concrete ❑ T}pe of perforation or size of screen - - - <br /> Frotn To -- Dia Gage-or From To Slot <br /> ft ft in Wall ft � ft s ze <br /> 't 12gzL. Casa g WWC R a-- - <br /> 9) WELL SEAL p <br /> WAS surface sanitary seal provided" Yes No ❑ If yes to depth-5-8-ft <br /> t�ere strata sealed against pollution" Yes ❑ No �§ Intervil f* <br /> Iethod of sealing Work started 19 Completed 19 <br /> f 10) WATER LEVELS WELL DRILLERS STSTEtIENT <br /> FDepth of first water if know 1 31 ft This well was d led under new iursd eon and the report w true to the best nj mw <br /> itandingr level after well compleuun 108 ft knowledge an Ire <br /> (11) WELL TESTS Stcvi;n <br /> 116 is well test m-Ldes Yes Z: %o C] If ves by whom' 71VeA Driller) <br />'Tvpe of test Pump [I Hailer El Air lift [I INAIMEGOehrin P1�IC1 Irri • <br /> Depth to water at st trt of test, ft At end of test--ft (Person firm or corporation) (Typed or printed) <br /> i Address P•O •BOX 113 ' <br /> e----------gal/nun after hours w ater temperature 95237 <br /> p <br /> L cal analysis made yes ❑ No [3 If yrs, by whom city Locke�ord Ca.� ALlQ� 16, 1{�86 W is electric jog made? ]res ❑ No ❑ If les loath cop-to this report License No 277491' ate of this vapor+ <br /> DWR 188 tREV 7 7e) IF ADDITIONAL SPACE 15 NEEDED USE NEXT CONSECUTIVELY NUMBERED FORM <br />