Laserfiche WebLink
1 <br /> IRP <br /> ' ORIGINAL ffrATE OF CALIFORNIA Do not f U in <br /> THE RESOURCES AGENCY 0� -lr C 7 <br /> with DWR 1� <br /> DEPARTMENT OF WATER RESOURCES ( J j <br /> latent Na WATER WELL DRILLERS REPORT State Won Q. <br /> late: <br /> v nate 8-5--9 2 0 _ other we»Nod � <br /> tFl <br /> (.1) OWNER- nam (12) WELL LOG Total&vffi �t Depth of completed wallet <br /> Ad — rri-n from Aro Et Foansticn (Deson'bo by calor character, sire or matarial) <br /> City-- - Manteca , - Ca- v 0 rJ -SOLI- <br /> (2) <br /> (2) LOCA77O}N Off' WELL (see instructions) n clay <br /> Ctnmty 5 d n tf.. a n 111 fl- Owneies Well Number - \ <br /> Well address if drfrerent from a 6 7 C I a <br /> Towndup Range_ tecue 711 89 Sand <br /> Distance from cities. meds,milmads,fences,atm '!. M 1 . E. of 89 - JQ2 S G <br /> IAY <br /> ' Air art Way - 106 San <br /> south side 106 - 4 C a <br /> ' (3) TYPE OF WORK= - <br /> New wan d( Deepenlus❑ <br /> 1lecoustructfon ❑ 17 9 <br /> 'A,2 Sand <br /> Reconditioning ❑ - ! <br /> Horizontal Wall (] _ <br /> Destruction p (Desod W 1 <br /> destructionmaterials <br /> proewures fn Item - i <br /> ' (4) PRUPOSED - t <br /> Domestic <br /> Irrigation 13 <br /> Iadus1W ❑ <br /> TWall ❑ \ - <br /> Stec {y <br /> Municip - <br /> WELL LOCATION WETCH \'v Other �1 ❑ �/ <br /> (5) CQIJIPafS?I>•r ((8) CRAV X ACK, <br /> Rotary Reverse 0 ' pt Ne Size �+• c� <br /> Cable ❑ Au ❑ I ?? of boa 1 ,� <br /> Other ❑ Butkat - <br /> (7) CASING INSTALLED, <br /> steel O Plastid 10 Co\ ' Type of pe m of '� <br /> 1 <br /> ' Vrom To ;",Dm Ga e. r F To t� MIL <br /> ft. E to Wail ft ft. si <br /> 0 195"\ 8+ 160 175 1 195 - <br /> (9) WELL SEAL! <br /> JVns=1j.sadtarY Baal pmtd <br /> ved? YesX] Ida ❑ If yet, to depth �0 --R - <br /> ' Were streta sealed asautst pollution? Yes❑ No p Iatermt _J <br /> blethod of sea Work started- 19 Cour Mrd_ I9 <br /> (10) WATER LEVELS= WELL DRILLEWS STATEMENT <br /> Depth of Orsi water, if I000wrL n Tho twit tear drRled under my hrrfsdietion and this report v tnrr the best of my <br /> Standing laves abet well rnmpletlon. - — 13_.�t knomis&e a d bevo <br /> ' (11) WELL TESTS= Slot <br /> Was well teat madaP Yes ❑ No R H ym by whom? (Well Driller) <br /> Type of test Ihmp El Bailer❑ Air lift ❑ NAME H E N M N <br /> Depth to water at hart Of tut_ - —k At and of emt, * 3 5 2�osi t tX pr,gpnmtign j ped ar prbttad) <br /> Disabarse� - /ram �r -_—noun Wstar tempura Add i J'C L R iV LJ N L G H <br /> analysis made? Yos ❑ No 1X If yes by whom? "�5 aFP <br /> isle las made? Yu ❑ No IF Yes.attach copy to this!apart License No ata of this repo 5 <br /> ' VWR 198 peav y-yea IF ADDITIONAL SPACE IS NFr1EDE0 USE NEXT CONSECUTIVELY NUMBERED FORM <br />