Laserfiche WebLink
STATE OF CALIFORNIA Do Not FJII in <br /> ORIfllNAL a t ���n� THE RESOURCES AGENCY r� q ! <br /> File with DW& `' C l.I 2 q <br /> Code '=! 10 DEPARTMENT OF WATER RESOURCES N. , 1 <br /> ! H g�'. 1 WATER WELL DRILLERS REPORT Sat Well'No S '" � <br /> Other WeII No—Z-178 <br /> (1) OWNER, (11) WELL LOG: <br /> i <br /> Name Francis Groen ! <br /> Total deptk fr. Depth of compreted well ft. <br /> AaLlTPSs • 032 • Formation: Deur4r by color,character,air of nralerld,and orrrrlmr <br /> on a <br /> fr.m ft. <br /> (2) LOCATION OF WELL: <br /> 1� Covnry kqan Ownrr'r number.if any <br /> I' <br />' Township,Range.and sretion TPS R89 <br /> Dittance fro.r citict,roads,railroads.et <br /> (3) TYPE OF WOR (check): <br />` New Well X Deepening ❑ Reconditioning ❑ Destroying d <br /> 1/destruction,describe material and procedure in Item 11• <br /> (4) PROPOSED USE (check): (S) EQUIPMENT: <br /> r Domestic ® Industrial ❑ Municipal ❑ Rotary <br /> Irrigation ❑ Test Well ❑ Other❑ Cable ❑ <br /> 87-91 Clay <br /> Other ❑ <br /> (6) CASING INSTALLED: <br /> i <br /> STEEL:x OTHER: If gravel packed <br /> SINGLE a DOIJBLE 307-iii Clay <br /> Gage Diameter <br /> From fa or of From To i <br /> ft. It. Dia m. Wall Bora ft. ft. i <br /> i10 A <br /> G� <br /> � F <br /> 5.24Q(tboe..r welt eitr r Sire of srsavefr p <br /> Dcrcrlbt Font <br /> welded <br /> r (7) PERFORATIONS OR SCREEN: <br /> i <br /> Type of perforation ur wait of sereea <br /> Ferf. Rows i <br /> Front To per per Size <br /> it. E. row ft. in.x in. <br /> 100 110 1/19 x t( <br /> i <br /> _ f <br />_ a <br /> (li) CONSTRUCTION: <br /> Wars surface sanitary seal proridedy yesIg No❑ To what depth ft. <br /> Were Any strata:csFed:•arose pollurimn Yes No 0 If yes,Dote dqpth of rtrita <br /> From ft,to A. } <br /> LL t <br /> Fran (r.to ft, Work started —�j 19 U ,Completed 19 <br /> method of atalin WELL DRILLER'S STATEMENT: <br /> (9) WATER LEVELS: rbis unll was drilled under my inrisdirtion and this rrport is true to At best <br /> of my knowledge and bell% ? <br /> Doth it which,water liar first found,if known ft. <br /> Standing level before perforating. if known fc. NAME niligs Biros Prilligy _04Z C <br /> SundlnX lave] after perforatiD and d"elop;ng (Person,firm,or corporation) (Typed or prinlyd) <br /> (10) WELL TESTS: Address 2500 W. RuMbIg Ed, <br /> as Pttm nae made? Yer 0 Ne f[ es,b rMmi Ode; to <br /> Ids r <br /> jral•/min,rich [t,dratvdevn■iter ha. [$ICNPp] 7 9J <br /> ti (Will rillrr) 1 <br /> em sratvee of water Was a cheminl awl sir made? Yrs C1 No �(�Q� '1 <br /> Was chctric Fox evade of well? Yes[] No If yts,attach w License No rr��t!f�t 1 ?bier? „4-24 r 19-76 <br /> SKETCH LOCATION OF WELL.ON REVERSE SIDE <br /> tic^.T:." tiCa'r <br /> a� Sec, 15752 <br /> DWIe 189 [REV.9-681 .5-74 lost TRlp Or asp <br /> i <br /> t <br />