|
t A116 IT MAY .9 1957
<br /> WATER WELL DRILLERS REPORT Do Not Fill In
<br /> Filo Wl11VDW2 (s4ct1aiii4 707.9,7090,7011.roes,WAter Code) 0 6545
<br /> , f
<br /> THE RESOURCES AGENCY OF CALIFORNIA sr3rc will ,r, 1 1,�l` - t J
<br /> DEPARTMENT 1 "NATER RESOURCESJ ���)c}tiIr vvett rro
<br /> (1) OWNER- (11) WELL LOG:
<br /> IVtrnc ,(o[r r sQ�yy� "+" _ r 1 yn eJ
<br /> AddC,ss
<br /> L0 ���
<br /> (2 LOCATION OF WELL: - , 5 -
<br /> Caanty Owner s OLLmber if any 5 Qccryee r
<br /> Township Aaege, nd see a -7A
<br /> Dutanee from cines,roads raid roads etc i
<br /> 99- SIL
<br /> (3) TYPE OF WORK (cbeclr.). �- 4sLr.n,f d ,>a/.
<br /> New, elf[ 1 �DeGE11pg © Rc,ond,ctonrn,s Q Destroying p � -f 3rd T j (Jjf,r 1,1-6
<br /> lJdestrrfctrm5,drsrxibematerial and ptor d+fre,„it m 11 rt 1-4--
<br /> T,
<br /> (4) PROPOSED USE (check)- (5) EQUIPAIEN1 ,7 2�
<br /> Domestic ❑ Industrial ❑ Munlclp-iI ❑ Rotary ❑
<br /> Irrigation ❑ Test Well ❑ Other ❑ C 11115 (S'- ? r / .% pt
<br /> Other ❑ d- i.; _�,dfr� 1 fJuYf�f
<br /> (6) CASING INSTALLED: s-- .
<br /> STEELS ozx:rt If gravel p-icked �33
<br /> !3 _ —
<br /> SINGLrt p oouat p .13 I
<br /> ~ Gage Durneter
<br /> From To or of Froin To na` L
<br /> is it Dia to 'Wall Bore it: fr
<br /> Sive of shoe or well nn -I �^ Eve nr rr I << - e3?9_
<br /> Deicetbe,urnc 9 X 99-41ty �"+_,r el, L,f,
<br /> (7) PERFORA`IIONS OR SCREEN
<br /> Type of perforano,r or name of screen
<br /> Perf Rows 3- 414, t��euJ 4' rL( I s 7sc �
<br /> From To per per Size —%20 A—
<br /> ft ft row ft sn x sv,
<br /> Mr,��
<br /> 5 `( So J a �' ------ --- --
<br /> 514 3
<br /> I ell -
<br /> (9) CONSTRUCTION. �l 5-- (, lr' r �,, i, r
<br /> ®„a+vFsce,an,to,Y srsl Prov,felt Yc,._ n ]>Wh,r fr,rl _ f. lL7/ flgp f;/
<br /> Were xny straw ed agm
<br /> ssr poIIu non? Yrs 1TA N 1-+ - (f�_ _ - rh f I /r 2 L- 9 Z less
<br /> ow
<br /> Fre,n (j fc to 4 1 ft, _ 1 Q I LYL�.r..i r_l__ />7✓—te�'1ZC T� f1 .��,_.�_
<br /> Wor ee,etcd jrS:-I �, -r mr,I t /!141
<br /> -[, I WLf L DRILLER S STATE EN r - r
<br /> WA TFR LEVELS- ni
<br /> J 1 Gas e<I! xr rs d,Nuri ander ray prisdr,1, ,1 n11,
<br /> 11, r,1 t ,v h,el to lke h i1
<br /> ( )rtx artyltu,rc(relgr,rnlbrlref
<br /> De r(�I �!�
<br /> Depth a[whi rh wit r „firm f�ant ,f kr,vn f
<br /> Sraad,nr Ievrl b fore par fin tint if known r I iN 1\I1
<br /> +pW'kVft1 (REV 0 63) 54301 950 10 62 BOM TRIP(D A oar
<br />
|