Laserfiche WebLink
1 <br />' ORIGINAL STATE of CAl.ltrt RNIA Do trottf U in <br /> THE RESOURCES AGENCY <br /> Filft— - <br /> with DWR OEFAR+TMcE7%NTT WELL <br /> WATIM RF—SOURCES No. 053739 <br /> Intent Nn r� WATER r E ••• D�'RS EPOR Swe Weil Nos Prank Na thr I?asrc 9-67 " �-►J�/ 0*a wa N.6f. <br /> p) oWNER: N.,,, Nelson Read Mix & Conaret �,,�� >� completedt�nll 7 f <br /> �+) WF LdG• Total de t th of 2 d t. <br />' <br /> Addrespi P.O. Bax 545 from& to & Fwmahon (Daseenbe by color. character, sgae-or motarfal) <br /> Q ------- Ripong Cab M Mpsoil <br /> (2) LOBATION OF WELL (See mstr=fjons) _ __201 & <br /> Cmanty Joaquin Owes Well Numb 29 B111a cla <br />' WeR addten sf dtiferant from abov. <br /> Tawnsh(p_ eltaa�a s 2 = 1 Blu <br /> and <br /> 2 Blue <br /> Dsneca from hla,roads,raflrauls,fmiee,a 2 ue S <br /> aha <br /> 68 <br /> 12 c y <br /> 2 r se sail <br /> 1341 Blue clay <br /> (3) TYPE OF wom 1 <br />' w.. Well X Dr*pw— [] I �1) Ke'N,,N, 17 U JulAlec <br /> lay <br /> Itacaaatrssetfon [,] <br /> Itoeoasllttonsag (] <br />' <br /> Had zont.1 well 13 = <br /> IlestnscLom [] (Ileaar�6o 2 02 1lae G' <br /> destnectfon mAbwak 2Q2 — Sand <br /> procedorgs In Item <br /> (4) PROPOSED 1)} - B1Ally, <br />' Dmgeshe 21 swig <br /> >nd�n 0 2 0 <br /> Indwtrtel j'g <br /> y <br /> 4g <br /> 91 <br /> AGxaG ip �y <br /> NVE LL LOCATI0N 5ICEYCH Other 0 = <br /> (3) E12MB ri.%IT (0) Gia Amoo <br /> Rotary ❑ l�averse j (� ( No <br /> Cable, ❑ Air 13 \ of hme <br />' Other ❑ Becket 13 2 Q <br /> (T) CASING INSTA1,3,1n (8) N1WQFA �ptlVOT <br /> staelil.IPlastic U e Type of 114544 <br /> ar of <br />' F'f nt _f tea. wEll �t tto <br /> t { �� <br /> D 2 1 <br />' (9) WELL SFAL <br /> Waa surface asmtary sal vsorsded? Yes No p If yes,to dwth — <br />' tiYora drata realtd against poftutsoO Yes[] No O Into cvsl fL — <br /> bfothod of saalln Werk s completed9 <br /> (10) WATER LEVELS WELL INULLER`S STATEMENT <br /> Depph of just water, if Thk Weil seas d iHed ander mg turadrtfon an s ranart it Inge to the hart at MU <br />' Standing level after welt comple knomicAge and Leff <br /> (11) WELL TESTS, s <br /> }Vas well test made? Yes Na ❑ If yes, by whams?HergaIjigs. (well U11110r) 01 <br /> Type of test pganp Hadar❑ A$r Ilft© NAM 8 Br0 . Dril-M-k Co• jnC. <br /> Devitt to %water ut start of tur .__..ft At cad of test - # Porion,fufm,ar oaspnmfian} (Typed or vageo <br /> Water temp � VB <br /> emstlYsa raade2 Yes ❑ 11a�( If Yes. 1wirhomT Im zip Q <br /> 79 W ekcctric tog made? Yes 0 No t If yea, attae COPY to this report X fsessse uta of this wpo �6» <br />' DWR tas UUM 7 yet IF ADDITIONAL SPACE IS NEEDED. USE NEXT CONSECUTIVELY NUMBERED FORM <br />