Laserfiche WebLink
Isar OS 07 01:11p <br />GRIGMAL <br />file Original, Duplicate and Triplicate with Ito <br />REGIONAL mATEX POLLUT1014 <br />CONTROL DOARb QTc.---_.._ <br />• ••rrr .be,o6,i<r< rdwbers <br />NCYC PLRNT OPS <br />/ A) r- U <br />209 948 0824 p.9 <br />WATER WELL DR1'1r.LER.S RY-PORT <br />0.ce:mm 7076, 7077, ?078, Watsr Gods) i t�� <br />THE RESOURCES AGENCY OF CALIFORNIA <br />LA.UFaRN1f1 )-6,PWAd/THaRr7-:r <br />k 1) OVWER: <br />Name State of C3liforni.a <br />Addr= Deot.. of General Srervice <br />Office of Architecture iI Constmiction <br />(2) LOCATION OF WELL: <br />Govaq San Joacuin owstr'r sumbe:, ii -y7 - to f <br />�. r•. o. e! stent No. fgortherr: Cathomia ` mt`t ..enter <br />c toc kt on -ioaad <br />.-W <br />(3) TYPE OF WORK (check): <br />Nev well nC Dmptning Q Reeonditioninx ❑ Abandon [J <br />t f dberrdOnmrarl, drscribr ardtrrial etrrd proccJerrc in Item t t. <br />(4) PROPOSED USE (check): (f) EQUIPAMENT: <br />Domestic 9 Irfdustrial E3 Municipal ❑ Rocary �❑ <br />le <br />Irrigation [i Tcsc WeII ❑ Orher ® Dug <br />Dug Well [] <br />(6) CASING INSTALLED- if gravel packed <br />SINGLC 5 boUf01_£ <br />or U;smtter frn® m <br />From {a, as Fr 7i+m. w.11 -I' D.re fc fe. <br />pdC <br />'Pgpe .nd .,.t or snot or rA r.oa u x $ 5. r. r 3nw1; <br />QtKr.k r. �e but !t•7. G, s T rar. 5 <br />(7) PERFORATIONS - <br />Trp, of 1•rrferornr nue I'ti11S <br />512E .f perfor.rlonr <br />From f.". h. Ceri. pt, n- 0.owa h. <br />+ P <br />(3) CONSTRUCTION: <br />w.s a .urint .tn,wy .erl p,w.dad i $ Tea No To what depth 59 1, <br />were any t(rara rased .Sain.r Bell u:ion? Y.. Cl No If 7.., no.• dep•h ed rnacl <br />From ft. ` <br />U. <br />,Method of Scaling Cf)nerAte 1:rcut <br />(9) 'WATER LEVELS: <br />Dep.1, as -wrb w., tee ow ri,.r f.....d ft• <br />srtsd;nr lead beton periorar:or fr. <br />Air, level afro rfvrarine �. f•. <br />( I o) \;FELL TESTS. <br />lra.. ?..—V .e., medr? —0 Ya 0 Nu I 7e., by whom! <br />YWd: - 10 cel'im;s. with .L Fo 6ao do.,n r.'ur 110 hr.. <br />Tem..e:.r..e, of -- ? 'artj a a,mnaf +„:1t,.• m.d.t `; `.'e. = 'j. <br />Do Not Fi:i In <br />° 1.3'724 <br />Stere'welt Tie_ <br />Ocker Wel! No <br />(11) WELL LOG: <br />Tocal deprb 480 in, Dtpeb of 0.01 -ad writ <br />F.r+a:•i"® <br />Dnfnbe 67 rdfor. roper, rime of we{errp�r{'I rnMtnrs. <br />Int <br />clo <br />)s0 <br />Broom Clz,r <br />hO <br />1�2 <br />Sari <br />I1.2 <br />130 <br />candv Brown C1� r <br />_ <br />Graw-1 <br />1514 <br />192 <br />S.-undY 3ro••11.'I C1a-r <br />1n2 <br />)lea <br />3;11lp ct u <br />e LGr Id i f3 r r9- — <br />--------------- <br />T <br />�? <br />,� <br />work nmud 3/27 1:b ComPleud ,i 1t dil . <br />WELL DRILLER'S STAT EMENTt �J <br />7.64 mr11 wat hilted uraJrr m �urisdiefeon And Breit npsrt i; fr r to The betl ref <br />my kx'.riedcc Axd brbrf, .nw.L+e••- <br />NAME TA— Z.x''I <br />L;cense <br />