Laserfiche WebLink
ORIGINAL STATS OF CAIAFORNIA s Y — u <br /> Fila With DWR wELL CQNIPL nioN REPQRT �in I <br /> Page A- if ( Refer to fattrureron PampLlea STAM WELL No nITA11014 NO <br /> Owner's Well NovPS --zNo ����t�� ❑ ❑ <br />' Date Work Began Ended ,'S LNTi11iaH LgNO,YlIa� <br /> Loeal Permit Agency .S at a pmt. Cerv,t2 <br /> Permit No 6cG-' - Pe.ranit Date <br /> GEOLOGIC LOC_ 1iG1;L WN �, ,r,17 <br /> ORIENTATION (✓) VERTFIAL _HONZOMl•AL _...ANGLE —(aPEcoplr} 1Vasne <br /> DErM To FS133f wATILEt {1)s .Sli>ZFACE Melling'Address - r* <br />' aWACCEFRO� I)ESCRIPTION %% I ` t -,Y 14 <br /> Ft to Ft_ fkrage ma wa✓; rl K Mm 4= a 1, •ti CRY_ 1~ STATE 21P <br /> WELL I�QCATIOPi <br /> NIL-[ IJ Fttr ,(:'aunty 6A.4 ' . .��o w <br />' �"r�• APN Book page Parcel <br /> �rs <br /> + `_ { r' Tq�ltlshtn�- t___E_� Raatgeg_Sectron i <br /> 0 3 :F1LJv­ (d✓JA,;S t}.z ,` ►3 [ T.ahlitde_ F 1 Longitude <br /> eXA-V - Md: m SEC- OEC. MIN. BEG. <br /> ' ` LOCATION SEETCH ACTIVITY (} <br /> NORTH NEW WELL <br /> MOhoFtCATNSNIpEPA#i <br /> 1 <br /> �; w ^ , • � � PL`\.�A.Pr_FNEI7 I)SE(5} <br /> Z.� 1 S-- F Gl..,q � � •��MO{1N~7aoaINQ <br /> r WATER SUPPLY <br /> 1 F <br /> 1 � Jl�n t p � namFbtla <br /> e 11 Wcoa-.4 +.I�rr- ,�_J Patna <br /> i i C:" r LTi.{ LAIC 4Wt-25 _, 1trI8111ha <br />' aL�1C �4�FGTtta.[ �� � •l� tndwddsl <br /> 1 JLP9f �+ y '+u WELL* <br /> 1 F tlF litC`A.0PROTEG <br /> 1 , SOUTH $ CATION <br /> 1 Ilfrurrde m Deaerlhe Distance nt Wel(from Laudruark, ___DTHEP°Spacliy) <br /> 1 suer as Hoenig.Euddtnggaa Fences:]linen etc <br /> PLEME BE ACCU ATE& COMPLEM <br /> J i <br /> nRLuNa <br /> 1 F METHOD / fi. <br /> WATER LEVEL A YIELD 017 COBIPLETED WELL <br /> F DEPTH OF 3TA-11C <br /> WATER LEVEL (Ft) a DATE MEASURED <br /> i ' ESTLItATED YIMD (13PM) a TEST Type <br /> TOTAL DErM OF ROBING f (Feet) TEST LENGTH C-IraJ TOTAL DRAWDOWN (FI) <br />' TOTAL DM'nl OF OOA(PLB'=WELL. (Feet) 'Almy mat be reprettrr Wve of a uwJllr&Mr&rerm WtU <br /> OLE <br /> DEPTH CASIPLG(S) DEPTH ANNULAR MATERIAL <br /> BCIREFROM SURFACE: "OLE TYPE L FROM SURFACE TYpB <br />' FSWEFWAL GAUGE SLOT SIZE <br /> DIA. w !t' MATERIAL/ p1AWMH OR WALL IP ANY OE B� FILTER PACK <br /> �,) N S GRADE MEKF TOWIE FILL <br /> Ft to Pt. Uaskaa) THICKNESS arches) Ft to F4 (TYPE!$IxE} <br /> 0 2.d 1� s'[,�->w .9-1 to 44VAL <br /> o3d.r 4 P0, se-t o <br /> 3 r Ptt�Ss+t Bio Z, <br /> 1 1 , <br /> ATTACHMENTS (G) CERTIFICATION STATLIAENT <br /> Loo 11 the undorai nod.*Wily Ihat this report to aornplate and a ate to the beat of my knowledge and ballet <br /> 1 <br /> -_.-Wali Calmlruallan 01a¢em NAME( F� RP FA a <br /> OR <br /> .� l3eoplgsir:al Lop(a) .� <br /> .�3cNI Water Chomtml Aaalyees64" AlE zP <br /> ' ._. Omer CM <br /> dy <br /> ATTACFf Aat7mWYlAL NVFOr13lATiC)lVL 1F I1 FJtlSTB 31yAed 0 PREEf A TE ucimrumm 71 <br /> DWRte9REV 740 IF ADDITI❑NAL. SPACE IS NEEDED. USE NEXT CONSEC(JTI NI11It9EFJFX3 FORM <br /> 1 <br />