Laserfiche WebLink
117 . I <br /> STATE OF CALIFORNIA _ v Do Not Fill In <br /> THE RESOURCES AGENCY N2 89321 <br /> ORIGINAL DEPARTMENT OF WATER RESOURCES <br /> Fila with DWR <br /> WATER WELL DRILLERS REPORT State Well leo <br /> Other Well No <br /> ava <br /> (1) OWNER (11) WELL LOG <br /> Name Bandy gasser Tot.]depth 201 R L]rpth of c—plrmd will 63 <br /> !t <br /> Address T I :thFormation f)rsrrahr hi rain. rba.arrrr sa r a/malt-1 and slrr rtrrr <br /> it to ft <br /> (2) LOCATION OF WELL Lng <br /> Lounty Owner s number f a i ��' _ <br /> 4— Top Sn <br /> rliiyTownship Range and Section TPS R 5E4-27 <br /> Usstancr from cities roads railroads rrc l/.T4ury 5n J 2� Q Sana <br /> r <br /> 9-3� Clay <br /> (3) TYPE OF WORK (check) —36 Sand <br /> New Well [2 Deepening [] Reconditioning © Destroying Q 6 <br /> If destruction,describe inairrial end procedure to Item 11 46-61 SandGravel <br /> (4) PROPOSED USE (check)- (5) EQUIPMENT: 61 -1 Q3 Clay <br /> Domestic ® industrial ❑ Municipal ❑ Rotary FX1 I Q3-105 Sand <br /> Irrigation ❑ Test Well ❑ Other ❑ Cable ❑ <br /> Other 1 -� _1 and & Gravel <br /> (6) CASING INSTALLED 139-149 Clay <br /> STEEL X OTHER If gravel packed 149-152 Sand rzrayel <br /> SINGLE DOUBLE 0 — <br /> Gage Diameter <br /> From I o or of From To <br /> ft It DLam Wall Bore ft ft <br /> 12 12 0 6a <br /> Size W ,hoe r well ring Size of era%el lien <br /> Ue,cnbe wmi Wpj C3 PA <br /> (7) PERFORATIONS OR SCREEN- <br /> t <br /> Type of pertorxuun ur name of ac veers �1 GiSer COje -See 1 x752 <br /> D EN <br /> Perf Rows <br /> From To per per Size <br /> ft ft row ft in x in <br /> !1 <br /> r <br /> (8) CONSTRUCTION <br /> W., urlacr-O,Rart sea]provrded> l ofk No ❑ To what depth 30 ft <br /> W'i.ry.nv,riata xaled xg,t.—pollut nips )c ❑ hu [] If yes noir depth of straw <br /> from ft to f[ <br /> t-r— ft to ft work Started 19 73 Completed 19 <br /> tort ltnd o1 sexlnif, WELL DRILLER'S STATEMrNT <br /> 9 WATER LEVELS 'Tbrr cell uai drilled raider ant prrr?rd?rfion and Ilii% rrport n tart to the brat <br /> ( ) of m) kpiortlydhr and belief <br /> Urpth at which water was first found if known ft <br /> vandrn� ],,el brfor. perforatml, if known ft NAMF <br /> f['crsun firm ur corporation) (T)hrd or prenrrdJ <br /> Standing 1-1 .[tri prrf—j, g and devdnpinti f[ <br /> (10) WELL TESTS Address <br /> trio.pump utt made[ Ycs ❑ No if yrr 6) Phnm <br /> if <br /> R.] fmm „rth ft drawdown after hrs <br /> f lY rlf Iha!!rr) <br /> f emperature ut water VC as a ch.-_I anal). madrl les ❑ N. 5t <br /> .1 <br /> Was electnc log made of well? Yes [] No If yes attach tnpv License No 1—._.1..16-12? Dated-10 19-7-3 <br /> SKETCH LOCATION OF WELL O(N REVERSE SIDE <br /> DWR I eS (REV 9r,81 A/ <br /> / /� 24170 asp 9 Sr tUM TnIP A.OSP <br />