Laserfiche WebLink
' 4 <br /> r-- <br /> I <br /> ORIGINAL STATE OF CALIFORNIA Do not fill in film with DWR THE RESOURCES AGENCY <br /> DEPARTMENT OF WATER RESOURCES NO. 168949 <br /> «kor Intent N WATER WELL DRILLERS REPORT <br /> i' h404 Permit No.or Date AA_7(1 Stat.Well No i 9 <br /> Other Well No. I' <br /> (1) OWNER: Nam77nffi12 WELL LOC:: ��pp�� ±' <br /> 19632 Grant Lin ( ) Total depth2 L1—ft.Depth of completed-ela {� <br /> - Ircxn ft. ro h- Forr�rMon (Descnbe by color, character, tEtn or m.terfa)) '^ <br /> c;ty_ r1'Z aCY`�l i f <br /> "p Sbn soil ��' <br /> (2) LOCATION OF WELL (SK insUvctioru): --4-2 Gravel <br /> t canner Shc► JOacTuin o.rnerr WeL Number Lay &"Qravel <br /> f Weil addrou if durereat from abo 30601 S. McArthur 90 - 122 Gravel <br /> 122 - 127 Clay \vj <br /> i Distance from citle.,ro.dr,nil,..d,,fence, ete 127 - 132 -Gravel <br /> {D 132 - 137 ay,>;,-.• I <br /> \ <br /> - "a <br /> 90 r1ay <br /> (3) TYPE OF WORK: 150 / 153 (;ravel <br /> New W.0 N Drev.nlna ❑ 153 \1 70 Clav , <br /> pp "ac-°a'tr`wtjoa O 170 - •1J5 G;ravel,> <br /> ! Recoodidi zwnS ❑ 17&1 - 186 cr <br /> i7 xodmotal Well ❑ 18 �. - 169 P <br /> Deetn.cti n ❑ (Dncribe <br /> deatructwo metsna la 189• <br /> j protvdurq in ltwn V 201 " - 2Q4 Gravel l 119 <br /> (4) PROPOSED IIS 204 - 217 Cld ;ter\ �rJ, V <br /> Domestic Rr`v \\ 217 - 22 r CraveeF,. <br /> Imaatlon l \\ O 222— \ 23'4 Gla <br /> lndurtreal a 234.V = 2396 <br /> Graver Q <br /> � T\ wen ❑ 239. - 280 Clay f <br /> stoc <br /> I Municiwl Cl <br /> WELL LOCATION S[ETCIi \\i Other !� ❑ <br /> (S) EQUIPMENTt �((6, CRAVEt,\ 11t \� <br /> Ro4ry Q Reverse ❑ Y{�bolm­ <br /> Cab{. O Au O fiber ❑ Bckt ❑ <br /> (T) CASING INSTALLEDI (80,ERFORATIONS, <br /> Swl❑ Plastic Type of perhRitioo or?tie of rcrayq(� ��• <br /> From To 1)ta / - 1 <br /> gaar Fro? \\V To <br /> ft <br /> Ca ft in. Wall ft\� ft / �tsi?e <br /> 0 240 \ 160 200 " \\ _ <br /> PSI <br /> (9) WELL SEALz <br /> Wu mrface saa.tary real provided? Yes [R No ❑ If yes, to d-A-lDa___ft. - <br /> s Wan rents real.d • <br /> picot pollution? Yet ❑ No ❑ [nterval a <br /> M.,hod „f ."w Bentonite - <br /> Work .tan d 19 Complet <br /> Dept <br /> ept h d Ent avatar. If WATER LEVELS: WELL DRILLER'S STATEMENT: <br /> Dtnsown rr W <br /> St.ndaax k­1 after—11 —pied krn � knotclyd,. .dam under mV iun,diction and this repair w trot to the best a/ mV <br /> (11) WELL TESTS: Sl,;Nm '(: aC�C-�_ <br /> , Bkkr)r <br /> was wall tart made? Yes C No❑ 1( rm by whom? (Well Driller) <br /> Type of Oast Pump ❑ B.iler❑ Ai, lilt❑ <br /> % Depth to water at start oftear to NAM13 <br /> At end of test rt k o ( 6r <br /> Discharge -g.t/min Water tempera Add—_ 300 S. KilrOv <br /> Ch..Cal..Wyrw and.? Ya ❑ No ❑ If yes, by whom? City rl k, Gra?1 f 7'n <br /> x Was electric Ioa made' Ya ❑ No ^ If :e, attach c-rpy I,th.. -branLicense Nn. 321252 Data of thu report?-2S-Rid <br /> # DWR lee IRCV.7.741 IF ADDITIONAL SPACE IS NEEDED. USE NEXT CONSECUTIVELY NUMBERED FORM <br /> 1 <br /> t <br /> i <br />