Laserfiche WebLink
1 <br /> o Not Fill In <br /> STATE OF CALIFORNIA _ <br /> 5 THE RESOURCES AGENCY NO 70 <br /> 336 <br /> DEPARTMENT OF WATER RESOURCES State well <br /> PWR WATER WELL DRILLERS REPORT <br /> Other Well No � .. <br /> {11) WELL LOG: <br /> OWNER: (� ff. <br /> {�, Drvfh of eotnvlcced well <br /> STANDARD OIL CO• Tonl devfh <br /> Fo rm,non: Drsrribr by rotor,cbar°cfrr,s;.r of*++,i,rFillrurl urr <br /> ft <br /> 355 • • 0- fc.[n <br /> -20 C1a <br /> LOCATION OF WELL: 20-22 nd Fine <br /> San ioa uin owner',number.;f any ry— 112 Cla <br />' ,;p.Range,and Stctian <br /> Sand Fj ne <br /> 4_68 Cla <br /> e from cities.roads,r �,� <br /> Sand Fair <br /> TYPE OF WORK (check): VI—roi� Cary _ Cla <br /> Well g] Deepening <br /> Reconditioning ❑ Destroying —84 Sand Fair <br /> ❑ ` <br /> lriiction,describe material and procedure in Item IL q 4 2 %i' a <br /> PROPOSED USE (check): (5) EQUIPMENT: V _ 2 Sand & Gravel <br /> lestic ® Industrial ❑ Municipal ❑ Rotary ® — 6 C-1a <br /> Other Cable El <br /> ;ation F1 Test Well Elother ❑ <br /> CASING INSTALLED: <br /> I# gravel packed <br /> STEEL: OTHER: - <br /> 3LE DOUBLE ❑ <br /> Gage Diameter To <br /> or of From <br /> rum I.0 Bore ft. ft. <br /> ft. it. Diam. Wats <br /> 0 1 1 6 12 10 0 1 1 <br /> iS,Y of er,.el: ea <br /> nbr unf <br /> PERFORATIONS OR SCREEN: <br /> i <br /> of vrrlunfiun ur n,me of screen - <br /> Pert. Rows <br /> per Size <br /> From To r <br /> per ft in.x in. <br /> fc. ft. row, <br /> f <br /> 'T2__3 <br /> i <br /> a <br /> i) CONSTRUCTION: f <br /> surface san;ury se,l provided? Ye <br /> ou No ❑ To whu depth <br /> a� NIf yes note depth of ssrsfa <br /> ❑ n <br /> ertaa uta scalyd apo;nsr pollus;on? Yes . <br /> E.to ft. ComPlrced l4 <br /> vm _ Work scarfed <br /> ff' <br /> WELL"DRILLER'S STATEMENT: <br /> .eshuS of sealing This well was drilled zurder my jsrisdietiozz and Phis report is tr«r (o the best <br /> 9) WATER LEVELS: o/my kraozuledge and belief. <br /> f` Drillin Co. Inc <br /> >eath at which water was first found, if lfnown NAME Hennings <br /> finding level befure perfonting, if known <br /> ft• {Person,firm.or co rponnon} {Typrd or prirflyd p <br /> ,.dine level after verEon[ing and dcvdoping fc ., Address 2500 Itl. Rumble Rd. <br /> (10) WELL TESTS: o es O? a • <br /> Pump mt made? Yes ❑ No x If yes,by whom* <br /> (SIGmED� AL <br /># !d: eal.l min.with <br /> (c.drawdown y, <br /> after f el rillrr) j <br /> VV as a chemical amlysis made.' Yes ❑ No t7 aa9�- <br /> Temarnture of wafer Dated <br /> � was sten tic lop made of well? Yes [] <br /> N.YE <br /> If yes,acc,rh copy License Na. . <br /> .-.cvrecc glnF' <br />