Laserfiche WebLink
' ORIGINAL BYO 7114 WATER WELL DRILLERS REPORT Do No <br /> t Fill in <br /> File 0►191nal, Dupffcale and Triplieale with the (seetsoni 7076,7077 1079,Wit—Code)� 1/ 'x- <br /> / N? 111 9 7 9 <br /> REGIONAL WATER POLLUTION 7 / State Well <br />' tiNTROL BOARD No_ _ THE RESOURCES AGENCY OF CALIFORNIA Other WeEIN 115 <br /> r <br /> OWNER.1 (1 1) WELL LOG: <br />' Name St Armes Catholic Church Total depth it Depth of completed cell ft <br /> Address Thormton. <br /> Formation D-tube by color,rbaracter sr_e of metrrrel and isrrscierr <br /> it to 4. ft <br /> I4 11 soft Br cls <br /> (2) LOCATION OF WELL: 11 1-14 npnti <br /> Co"aty Sau Jo Owner s number if any- 13 17 dark .blulsh grey el a <br /> R F D or Street No 17 37 nQurse blue sand <br />' 37 42 blue cls <br /> 42 55 —bluA nnnel <br /> 73 75 1- 4.4-10 121-1.0 Randy clay <br /> I (3) TYPE OF WORK (check): tt <br /> _97 105 Ad brj tti a bluish c py <br /> New well g] Deepening ❑ Reconditioning ❑ Abandon ❑ 105 108 soft brittle sand blue clay <br /> If abandonment,describe material and procedure ret Item I1 108 115 Med blue Clay <br /> (4) PROPOSED USE (check).- (5) EQUIPMENT. 115 117 soft blue clay <br /> Domestic PP Industrial [] Municipal ❑ Rotary 11 117. 125 _ Ved blue clay <br /> I Irrigation ❑ Test Well ❑ Other ❑ Cable ❑ gnf'i h111A ?,In* <br /> Dug Well ❑ <br /> (6) CASING INSTALLED If gravel packed 132 138 black Rand I&Y-9-A 1,031.12 <br /> I Gig, —1.35 i 4fi br-+-+•1 a blue—C•Z>s3 _.— <br /> BINGLE � DOUBLE ❑ Ga tr <br /> tt�-s l� C p p� Dsameeer from to <br /> From ft to 0 ft SOD,.. 65/8 1tpl of Bore it ft <br /> I <br /> Type and size of shoe or well ring Sire of gravel <br /> Deseribe lo-t Welded <br /> I (7) PERFORATIONS <br /> Type of terforator ised none <br /> 512e of perforations in Ieatth by <br /> to <br /> IFrom ft to it Perf per row Rows per ft <br /> (8) CONSTRUCTION: <br /> t <br /> Was a surface sanitary seal provided? [] Yes M No To what depth ft i <br /> Were aay terata sealed against Pollopon? ❑ Yet t No If yn note depth of strata <br /> From it to ft <br />' Method of Sealingaasi]jr. Work started 19 Spi CompletedIST&W Ig <br /> (9) WATER LEVELS- WELL DRILLER'S STATEMENT <br /> This well was drilled under my jurisdiction and tbis report is true to the best of <br /> Depth at which water was first found it my knowledge and belief l r <br /> ling level before perforating 19 ft + <br /> • P <br /> NAME Sa <br /> is evel after perforating fSan eTOSu121 Lm1 Co <br /> (Ytrsoa,Sem or corporation) {Typed or Printed) <br /> IAddress 500 E Kettlemtan Ln <br /> 00) WELL TESTS: <br /> Was a pump test made? ❑ Yet No If yes by whom? <br /> Yield gal fmin with it draw down after het l$iGN BDJ + T�'7-: ,sy---a�tlt Orsller —�sT��^ <br /> I <br /> Tom <br /> penwre of water Was a chemseal aaalym taadt? C3 Yet ❑ No LiCense No 1172055.1LlJ <br /> was electric log mads of well? ❑ Yet ❑ No t-y <br /> 87440 2 sq 25KaviN d,&arc DWR laS fRXV 3 U1 <br />