Laserfiche WebLink
STATE OF CALIFORNIA <br /> r ORIGINAL THE RESOURCES AGENCY Do not f!ll tt1 <br /> File with DWR DEPARTMENT OF WATER RESOURCES <br /> WATER WELL DRILLERS REPORT NO 2 9 rI - <br /> e of Intent No %tete Well No <br /> oval I'crmrl No or Date Z — 01hcr V1 ell No G <br /> (1) OWNER Name 11AF.BF 11 (12) WELL LOG Total depth ft Completed depth R <br /> Address from ft to ft Formation tDeS[Tibe Ix color character size or material) <br /> C its .._ _ zIP _ <br /> (2) LOCATION OF WELL (See instructions) - <br /> Counh Ow ner%Well Numb, <br /> 'Aell address if differerrt from aboxt <br /> Tou nshtp 7-19 _ Range SE _ Section <br /> Distance from cities roads railroads fences etc — <br /> (3) T]PE OF WORk — <br /> C?ro,ar.� Ne" Well jf Deepening ❑ — <br /> Reconstruction ❑ ~� <br /> Reconditioning ❑ <br /> i1� Horizontal Well El <br /> O MW-3 N Destruction ❑ IDescrtbe <br /> de%tructton materials and pro <br /> y <br /> > cedures to Item 12) <br /> �tl�111a (4) PROPOSED USE r s ✓_ - <br /> Domestic ❑ _ <br /> Irrigation ❑ _ <br /> h Industrial ❑ _ <br /> Test Well ❑ _ <br /> Muntwpril ❑ _ <br /> OtherLF <br /> WELL LOCATION SKETCH (Desertbe) — _ - <br /> (5) EQCIIPMENT (6 t PACE — <br /> Rotar) ❑ Reverse © Yes)C No 0 � size <br /> Cable ❑ Air ❑ Diameter of bore kfbx,,h — <br /> Othar C Ruck ❑ Packed from 2.4- to ft <br /> (7) CASING INSTALLED � (S) PERFORATIONS _ <br /> Steel ❑ Plasltc ® Conevetp ❑ Ty pe of perforahon or size of den <br /> From To ryi Gage or From Td Slot - <br /> ft ft's Ib l Wali ft -ft� `size <br /> (9) WELL SEAL <br /> Was surface sanitar% %t-Al provided les X No © If%ew.to depth +_+ ft <br /> Were Strati seal[d against prlltttton9No El lntt nal 3x"O ft — <br /> Met hod ofuahnS 1e% bi� l Worl, staritc{ Jy Completed 19 <br /> (10) WATER LEVELS WELL DRILLF 'S STATEMENT <br /> Depth of ftnt wettr ti knnun ft <br /> Standen fintwaur i(knou ktron � ft 1115 well ua% tiled under inti jurwh(tton and this report is truv to the <br /> S p 1u%• of mt/ of dgr and Ixhr f <br /> (11) WELL TEs rs Stgl l(tl <br /> Was well it N made 14% ❑ Nu 11 v(% h%W horn' (1A t 11 <br /> Dnllt r 1 <br /> of Irk Pump El11811cr El Airlift ❑ NAMF SPECTRUM E ORATION INC. <br /> to watt r at%tart of te%1 _ft At end of It qI ft (Person firm nr corporation)(Typed or pante(1) <br /> Discharge gal;nunafttr boon "Iiterttmixreturt Addr(%ti 2825 E. MYRTLE STREET <br /> Chemtetlattahst%rnadco )e, ❑ No ( 11%e% h%whotnO ( Itr STOCKTON, CA 7.11'_95-2-0.5- - <br /> Was electneLog made lee ❑ No ❑ If%(% Allatheap% tolht%itp.rt l u((tst No 512268 Datt of(hisrcport <br /> OWR 106 (REV 12-8eI IF ADDITIONAL SPACE IS NEEDED USE NEXT CONSECUTIVELY NUMBEREf7 FORM 86 96355 <br />