Laserfiche WebLink
ORIGINk STATE Or CALIFORNIA ' Do not fill in <br /> Elle with DWR THE RESOURCES AGENCY F' nr �O�r� <br /> DEPARTMENT OWATER' RESOURCES NO. 2 0 <br /> ,1 of intent Ne 2 4595E _ WATER WELL DHILLERS'REPORT state Well Na <br /> 1., •rmit No,or Date ���+ •" <br /> Other Well;fa.,� <br /> (1) OWNER: Nam Nestle Foods Cor oration (12) WELL LOG: Total depth 43 ft.Depth of completed liven 42 <br /> Addres1t. <br /> s— yore arena on cacti a c6 or, amcler, size or material) <br /> w: City_ lZ.-1 on, CA —,'iP 95366 <br /> (2) LOCATION OF WELL (See instructions): <br /> county-5aU__1Q Owner's Well Number M`1011 See Attache Log <br /> Well address if different from above ! <br /> Township 2 9 Range 1E .._ ection 29 <br /> - Distance from cities•roads,railroads,fences,etc — t <br /> —k <br /> (3) TYPE OF WORKi <br /> New Well M Deepening❑ <br /> See Attached Map Reconstruction [� � <br /> Reconditioning <br /> Horizontal Well <br /> Destruction❑ (Describe �1 <br /> destruction materials orf <br /> v <br /> procedures is Item 1 —, <br /> I <br /> (4) PROPOSED 6$, <br /> Domestic p <br /> - Irrigat{on� ❑ j } <br /> Industrial ❑ <br /> T"\5wd s <br /> Municfpa [� <br /> WELL LOCATION SKETCH ritamg y _ <br /> ($) EQRIPMENTt (B) GRAV N ACK: <br /> Rotary ❑ - Reverse ❑ do 8 No [- Size ' <br /> Cable L7 Air [' ,t r of bore 9 i G <br /> _ <br /> Other [] Bucket ❑ Pu1 k fror+��,_ to 43 <br /> f7) CASING INSTALGHD {g} ERFORA S s — <br /> Steel El male Lf Co 1 e' Type of pe �i or Me of scrc_,. <br /> From To.-,Dia. Gage_ot F TO gg I ' <br /> ft. ft-( jt. Wall fL ` ft. �r� _ <br /> t sc .4 22 42 010 <br /> r <br /> (9) WELL SEAL: y 5 . <br /> Was surface sanitary seal provided? Yes PIo Q If yes, to dopth„ Q, <br /> 4 <br /> Were stsatn sealed against pollution? Yes too❑ Interval r3—]$ 7A _ <br /> Method of sealia Work started- 19 Completed' <br /> omplet 19 <br /> (IO) WATER LEVELS: WELL DRILLER'S STATEMENT: <br /> Depth of first water, if kThis well war drilled under mut jurisdiction and this report is true to the best of my <br /> Standing level after well eompletl ft. knowledge and belie/. <br /> (11) WELL TESTS: SicNsb <br /> Was well test made? Yes Q No[f If yes, by whom? jiWell Driller) <br /> Type of test Pomp [3 Bailer❑ Air lift❑ NAMELAYNE--WESTERN CO. INC. <br /> Depth to water at start of test __ft. At end of teal (P fl or rp on) (Typed or printed) <br /> Address 1 6 fl I � Y a <br /> rgr,�_�n+l/aria after__,,,___—__.honry Water temperature . <br /> ,! aaalyeis made? Yes No❑ If yos, by whom? Cari ie City— Fontana, -CA zip 92335 <br /> L li lectric log made? Yes ❑ No i if per,attach copy to this sopor[ License No. '452609 mato of this report <br /> i OWFt too tasv.7-76y [PLADDITIONAL SPACE IS NEEDED. USE NEXT CONSECUTIVELY NUMBERED FORM � <br />