Laserfiche WebLink
ORIGINAL. STATE OF CALIFORNiA Do not fjj in <br /> ��@ W1{� SWR THE RESOURCES AGENCY <br /> DEPARTMENT OF WATER RESOURCES NO. 129566 <br /> of Intent No WATER WELL DRILLERS REPORT <br /> Smte well N4. <br /> 1 Permit No or D-,,. 79-118Other wolf No a�l �+ "t <br /> {1! OWNER Nem ORB MIS.5 i� i T• CO. (1+) WELL IDG- Total depth 200 Ilepth of com,tetLd wdl-]L90 <br /> Address d from ft to ft Forinalou (Describe by color chmvu Mr siae or matenal) <br /> City S .wktont,,ca. _ _ zl C - op soil <br /> (2) LOCATION OF WF,L+L (yes irsexut:tlors) compacted e s <br /> aw <br /> 1 — 0 era. L'E31y <br /> caanly Jos tlin Owner's Well Numbs <br /> Well eddies If different from above 0 14Oxse Rd. mad sand <br /> Township LOdl ang Sacha 0 R <br /> Distance fmbs <br /> m gi ,reeds,rwhvai7s,foam etc - III e V O 9t lit a - 0 Tl-i l - ODA. <br /> t 120 - 135 \'1ZQS&tnd <br /> 135 1 <br /> :L50 Said <br /> ot (3) TYPI& OF WORKS 1 1 claw <br /> New Well do Deet'ea■n8© I kS,%A78 [:d Sand <br /> ti Iteconstruetloo © 178 -V9 <<Jqlay <br /> Itecandrkfaning 0 2 - I a Brown S nd <br /> Uorlseatnl well Q <br /> Destructfors 0 (Doscrr'be <br /> ���. / �" dwtiucttoa mate 13 - <br /> dR li; procedures fn]tarryep 2111 19 <br /> (4) PRC rosEn <br /> Domestic <br /> frrytrtion <br /> CN Industrial Q <br /> T� wau ❑ <br /> Ij <br /> stag <br /> Meaio�p - <br /> WELL LGCATIO14 4AFTCEL Other D <br /> (S) SQDIPMENTr (6) GRA PACIft - <br /> Rotary 99 lZaverso 0 No Size <br /> Cable 0 Air E3ter of <br /> Other ❑ Bucket 0 - <br /> (7) CASING INSTALLED <br /> (8) ERFORA - <br /> eteel p F1nsUa[f CI. TYFL of r of .of xre - <br /> From TO DII TO <br /> ft. ft In all ft.Igo -0 1b0 !go 15 - <br /> (9) WELL SEAT.. <br /> Was surface sanitary seal provldcd? Yes 19 No 0 If yes, to deNh----5Q,dt -- <br /> Were strata sealed agnfast pcIlutlon? Yes ❑ Nom Intesva�-_fit - <br /> Mtthod of walin• Work No IS Complet 9 <br /> (10) WATER LEVELS WELL DRILLER'S STATEMENT <br /> Dath of first voter, If lawroT -4� ;' This taelf mai drfllcd under qty furbd,dloa an rt a Orae to the best of mil <br /> Standing level after wolf completio ( knowledge and belts/ <br /> (11) WFJ.L TESTS; Srcly ••Was ~veil test raades Yes ❑ No 19 If yes, by wh— (Well Driller) <br /> TYPS of test P—P IJ 1311101ar ED Air lift❑ NeIMF HME DRIL_Ir1EG Co <br /> Dopth to water of start of At and of test__--__Jt P dP,glson,'W'eotpornt;nl ITYpad or rbrwa) <br /> rtl._- gd/lara afte�.Iraiin Water ttmperp Addy _ <br /> $aoslyab made? Yes ❑ No� If yes, by whom? City vallA NOIR Q$. <br /> Wps electric lag mega? Yes a,0 X If yes.attach copy to thlr report License Nom a of 'Yqjrpk .. <br /> DWR les (REV 7 761 IF ADDITIONAL.SFACE 10 NEEDRD US$ NEXT CONSECUTIVELY NUMBS , <br />