Laserfiche WebLink
STATE OF CALIFORNIA _ Do Not Fill In <br /> THE RESOURCES AGENCY O 58363 <br /> ORIGINALDEPARTMENT OF WATER RESOURCES <br /> File with d0,11"I-MIEN.''.t�, LOG �`' 3tJ `0E-21 J i <br /> later Code Sec. 13'75NATER WELL DRILLERS REPORT Stace ell No. / <br /> Other Well No: ��r <br /> (1) OWNER: ShtJ SoArQu I'rJ c�vtJ77141 <br /> (11) WELL LOG: <br /> Name Total depth 40t ft. Depth of completed well 10Et. <br /> Address 17900 E, Harney Ln Formation: Describe by color,cb-seter,size of material,and structure <br /> Lodi Calif, O.o•e•o3 5 ZO-0 ZGiJ_ ft- <br /> (2) LOCATION OF WELL: 30•••• '' Clay Pan Clay <br /> � <br /> C:ountZaa Joaquin Owner's number.if any 60.000.22 Taied• Ibm 7Cla ,,,T <br /> Township.Range,and Section J. it 8Z Sec 4 ZZ 22.000•7 e, Sandy- L 4 V rn,�T ci <br /> Distance from cities,roads,railroads,ecc.A ro'Xe. m:L. S of where 37�.•.•®56 3 R-ittle- ben ap <br /> Atkins Rd and Harney Lm intersect. 56.....1355 Britt. dark brn cls <br /> (3) TYPE OF WORK (check): 135g... 145 5 Sandx ben eZal <br /> New Well g Deepening ❑ Reconditioning ❑ Destroying ❑ 1 • 1 6ti'BIk sand LPC G tr <br /> if destruction,describe material and procedure in Item 11. 1 68 ` Sand bx'TTl <br /> (4) PROPOSED USE (check): (S) EQUIPMENT: 168 2 2S Red b <br /> Domestic ❑ Industrial ❑ Municipal ❑ Rotary ❑ 2-T2 214 6 Rocks & clazy 311 <br /> Irrigation K] Test Well ❑ Other ❑ Cable 2 2 Ne' <br /> Other ❑ 2 3 =cky g= clay <br /> (6) CASING INSTALLED: 2 <br /> STEEL: OTHER: If gravel packed 5 <br /> SINGLE:& DOUBLE ❑ ~ <br /> 1 3 <br /> Gage Diameter algr <br /> From l'u or ofFrom To 5 n' <br /> cJ ay <br /> ft. ft. Diam. Wall Bore ft. ft. Qi <br /> 0 228 14n T to 5 tr <br /> 2 68 2rt tt n sr 306 Q 5"Rocks & <br /> Sae u!shoe well'irsg'14� I tR Size of gravel: lay <br /> Ot—ibe -t <br /> (7) PERFORATIONS OR SCREEN: <br /> Type of Pertoratiun or name of screen TAO Sandstone <br /> 5 <br /> Perf. Rows 1 <br /> 9 <br /> From To per per Size , b Cum <br /> ft. ft. row it. in.x in. e' 4 <br /> t t or a '1• =3c h3k, sand zitb <br /> °j <br /> 7 <br /> ay <br /> (8) CONSTRUCTION: <br /> Was a surface sanicary seal provided? Yes CX: No❑ To what depth ! ft. t the sand and S=a=i <br /> Were anv suns sealed against pollution? Yes❑ No 1[ If yes,note depth of strata stamted to =;m–. This bole =3 led back :to <br /> Fru. ft.to ft. t <br /> q� A sec:hion =331d be needed to go <br /> Fru. ft.to ft. Wo 'Completed - 9 <br /> Method uE sealing WELL 16RILLER'S STATEMENT: <br /> 9 WATER LEVELS: This well was drilled under my jurisdiction and this report is true to the best <br /> ( ) of my knowledge and belief. <br /> Depth ac which.water was firs. found, if knowt?n – ` ft. <br /> itandirs levy f r t' E t ft. NAME an <br /> (Person,firm,or corporation (Typed or printed) <br /> Standing level after perforating and developing y ft. <br /> (10) WELL TESTS: Address <br /> Was pump tae made? Yes ❑ No ❑ If yes,by whom? <br /> ..J: gal./min.with 'ft:drawdown after hrs. [SIGNED] 14 (s, <br /> rA <br /> ( e l Drills) <br /> Temperature of water Was a chemical analysis made? Yes ❑ No �} <br /> ",,electric In,made of well? Yes ❑ No If yes,attach copy License 1\0.2 �91 Dace A r / In 1973 19e <br /> SKETCH LOCATION OF WELL ON REVERSE SIDE CC.t7i—i,:_a ;I i?-'t_ LOG <br /> Ya2te�' Code Sec. 13752 <br /> DWR 188 (REV. 9.68) Plate D-2 =1119-9509.601 3004 TRIP AD OSP <br />