Laserfiche WebLink
ORIGINAL STATE Op CALIFORNIA Do not fill in <br /> THE RK-SOURCES AGENCY �I <br /> Dile with DWR DEPARTMENT OF WATER RESOURCES IVO. �,�g 6 9 6 <br /> of Patent Ido WATER WELL DRILLERS REPORT State Well no <br /> emnle.No or D.�tm p � Other WeU Me <br /> (1) OWNER. xatae�T & T TRII K G -- RUDY (12) WELL LOG <br /> Total deptltl LLQft Depth of cample6ed w,p1�,��F <br /> AddiesRey 99 _ TARDITI from ft to ft Formation (Des:cnbe by color, chaxacta, size or material) <br /> r- - <br /> city---LOkDI,.—CSA�,.T ._ _ 7Ip 0- 2 Topsoil <br /> (2) LOCATION OF WELL (Sea Instru0tt0ns) a & Shale <br /> Coumlt—RAI1T T()A4[f1N_ Owners Wall Numb 95- 2 nd <br /> Weil address if different from abav 12 - 37 Cls hale <br /> Townsltrp nKSect - 46 Shale & &Ptd <br /> Distance from cities,mads,railroads fences,etc 54 <br /> e�i CC S �e <br /> JUJS..NOTH OF 8 MILE - <br /> (s) TYPE OF WOFtxt7, A�Rlsq <br /> New W.31]X DeepaataY ❑ & Shale <br /> Reamsbuctioa ❑ <br /> Peconditfoeing ❑ - <br /> Hodaantal Well <br /> Destruction 0 (Describe - <br /> destnrctloa matcaak <br /> procedures In Item $ <br /> (4) PIROPOSLU — <br /> Domestic - 10 8ha1m4\\Sjin- d <br /> Irrfgaltaa 1aX\ <br /> Industrial <br /> r <br /> T WcA ❑ - <br /> Sta - <br /> Mrraioi <br /> FVW.L LOCATION SKETCH Other © - An nd <br /> (5) EQUIPMENT: (t)) CoA PACK 1lktit <br /> Rotary 10 Reverse ❑ Nn Size <br /> Cable El Air ❑< at of bosgl <br /> 365 M ay <br /> Other ❑ Bucket 0 o <br /> (7) CASING INSTALLEDt (B) SPYORA r <br /> i <br /> Steel a 19-4stic© Ca Type of p ar a of scma - 22(A Be nd Vi ne <br /> From <br /> ft lin all FC1 a7g 9- Shale <br /> #t s! <br /> 3 -- <br /> (9) WELL SEALt <br /> Was sorfaoo sanitary seat pinvL&O Yes1 I- No jf If yes,to depth ft, - <br /> WAre strata senlad against pollution? Yes Q No p Interval ft <br /> Method of seek Work start Com lot 9 <br /> (10) WA'F'ER LEVELSt ; WELL DRILLEWS STATEMENT <br /> Depth of first water, If knmv��� -- h This,ail loos dr(Ifad under mg )irrirdfct(on and this report k true so the bast of mu <br /> Standing level after well completion—, _ tk knnwledge andb Hof <br /> (11) WELL TESTS. Slcr + <br /> Wm well test made? Yes ❑ No X If yes by whom? t (Wel! AIer <br /> Typo of test Pump ❑ Bnder Q Air lift❑ NAME>� <br /> Depth to water at stnrt of trot_ - ]t At and of CasL�_ft orlon Arm,ar mrporado-1 (Tys ed or printed <br /> Addmss_��tTa2�� 1P� .�3n�d Il <br /> IheahOrg0. ,nl/tarn after hours Water temperatur f C( Moderto Calif 0 <br /> l sutalysis mado? Yes [] No R If yes, by whom? , ' <br /> W r e adu log made? Yet❑ No JH IF Yes,Attack 22Mto this report Zlcnr No 200831 Dag of this Mown <br /> oWR 180 IREv 7 Tat IF ADDITIONAL SPACE 15 NEEDED USE NIrX-r CONSECUTWELY NuMaERED FORM <br />