Laserfiche WebLink
ORIGINAL 1 LI <br /> Jlle Original Duplicate and Triplicate with the WATER WELL DRILLERS REPORT Do Not Fi, 39-937 <br />•t f DIYIStON Of WATER RESOUR(Ei <br /> (Sections 7076 7077,7078,1%7acer Code) <br /> P o BOX1079 STATE OF CALfFORNiA--�EpARTMENT OF PUBLIC WORKS Suit.WJ1 No <br /> SACRAMENTO 7 CALIFORNIA _ - - <br /> DIVISION OF WATER RESOURCES f Dtl,Lr Will No <br /> • lZcs,wn <br /> O DRILLER (person, firm, or corporation) (8) LOCATION OF WELL <br /> NameI <br /> Address 546 <br /> C i.- , t 7.,,.1��7I�' z41 1r1 t 1 s,�-.1,. C <br /> c ty 1 aunty _ <br /> . yy0111 r� Af^-`sac Etreet R F D or street No G <br /> OWNER <br /> Name 11r, <br /> Address R i. Z Boit 242 <br /> Let ,;or), CRL1 foriaz r (9) WELL LOG <br /> Tota]depth of wcl I <br /> Formation Menson size of wirer gravel— <br /> (2) Proposed Use (Check) Equipment p It to cj fe Tcz SOl, <br /> Domestic Industrial ❑ Rotary X7 5 12 Ye110T C1a7- <br /> Irrigation ❑ Test Well ❑ Cable F-112 18 Brown Sand <br /> Munici aI Dug Well ❑ 18 24 Brown Cl.-,yP ❑ Other ❑ Other ❑ 24 M Brown Sand <br /> (3) CASING / 1 36 4>? Brown C1av <br /> 6 <br /> 73 It of .n Z4 4O 9, BS'OYT1 u4T1Cx <br /> tb/gs casing 3eEc in well 90 143 Brown Clay <br /> I13 150 Brol-m Said <br /> Type and size of shoe or well ring <br /> ------------------------ <br /> PERFORATIONS <br /> ype of perforator used <br /> Perforated It to frboles „- ._-...�-.•-^— �" <br /> per .n <br /> _ � Y <br /> Z.- <br /> Diameter of perforations .n length <br /> in <br /> (5) WATER LEVELS <br /> Was decree log made of well? C Yes 0 No If yes,attach copy <br /> Depth at which water was first found 2 <br /> standinglevel before <br /> perforating <br /> Standing level after perforating it <br /> Noce your observation of any change,n water level while drilling <br /> n <br /> is a surface sanitary seal provided s '+ <br /> (6) WELL PUMPING TEST Work started (.-2019 95Z Compleee <br /> C.spaerry <br /> SA/min _ <br /> ft draw down pare of Report <br /> aTu1y,7 =G 1952 <br /> Wet well gravcl packedWELL DRILLERS STATEMENT <br /> This well was drillc,l rm <br /> nnlar y jurnclr,t,orr arid ibis rrport is trite to the best <br /> 1111111W -aRy strata sealed against pollutiun? of eery kuowfedge and bills f <br /> 7 emperature Attach <br /> Wm a chemical analysis made? copy 5TOC�T N R ,_F' ,3e ;x(,,TCR , CR.i'_ <br /> anm"� <br /> �$[CNCDI I. I.t r L <br /> I f spa ndanrd vas wdl capped? f L g ,rte W111 Drdler <br /> By <br /> (7) TYPE OF WORK (check)w <br /> Nl. 678 C - - <br /> Lwensc No / Classlficacton C-57 <br /> ty well Xy of well [:1 - -- - - <br /> I)cepening exesung well DMted <br /> 411370 7 51 30M all lir 0 sno <br />