Laserfiche WebLink
3+ f <br /> _ f • '� 'T <br /> z � <br /> f , <br /> 'Do Not Ff11 <br /> !TATE OF CALITOrINIA <br /> THE RESOURCES + <br /> � .��� `� o '�� 114:: 8 3�7 , <br /> ' b Ltel[this ftspjr`' DEPARTMENT OF WATER RESOURCES' N. a : i, <br /> _ Cp <br /> r 1 WATER WELL DRILLERS REPORTstat°'wai lho <br /> (1) OWNER. " ( } <br /> ' ]a WELL LOG: <br /> r ,1va1t1C?: D Tot.l dash 130ft. De hof tam letd e]Iw <br /> Form.+ion: Dnrrifr bT rofw,rlK rrrrr,elle of RirrNd,ud rfnrtiri 9C' <br /> .a -- r f.+n '; <br /> . {Z�.LOCATIOx1 oF'07EI.I: Y H :-vT-& " ! <br /> .. <br /> i-, rCa.+ier r• ('' Orsrr'• oenbrr.if m « ,'F ..,.� ti*Y: :,;T "'t'�Try 'r <br /> .:.K 1-.T7o.nrh fret m '�:"•1._..,. ., r C <br /> ,'� rl Dnunei("eon ciritk,mord•:r.ilrwdr.e Ed <br /> aT]fP$�OF;#'WORK•.(tl6eck):Zb <br /> NewiWall �Deepening;©, Recoadiciotiing E I Dntroying,❑ n � <br /> l Jnfnrefron,drrrrl&watrri�Jend roCrdferrinllrrnll. <br /> (4);PROPOSED US£q(rfseek}: (S)'EQUIPMENT: <br /> ' " DorYsattc�aIaduscnaI (],Ml n ipsl.� Rotary " •�" " <br /> e Irriganon ©4Test Well❑ Other _ Cable „❑ <br /> Other <br /> :y <br /> (6)kCASING INSTALLED items r d`"rj �o- 1tC <br /> n �} � x If gravel packed <br /> F - <br /> � <br /> .-�3 f•^e- di, <br /> cir of <br /> l i Gage Diameter- s <br /> FY Diam.'[I.VWall 't' Bore fcm r ft?n s s'. * f pVP.1�1616 &"d 3 .2..r <br /> • .. F r h <br /> 1 2x <br /> -. Aar n/ 6ariir�rrR rir- r -�`� - -57er of er.rd r' 32ea <br /> + -v.xee ee N;,e.T1jelAPA <br /> (7) PERFORATIONS,OR SCREEN: <br /> .:T of tlrrforati. or aver of ferres:- <br /> l:. <br /> Rowe _ <br /> j * 1,Frorni per ' per. Sire. <br /> row .ft. in.:in. <br /> n'f ..g <br /> � � r 'r••:''iLti. �."���=i P_� _.. - - - �. I 2 rf.y�*4 :;�,;��';`�"'"'8!,�'m iL y,.'� '�, <br /> IVA- <br /> (e)r CONSTRUCT10N y t y <br /> wf/er t wirin nl n ..dad f Yn •�Ea[] To rhrt'd eh A. - w <br /> r <br /> 1>♦rrr r. atfna wrlyd qa iir 1 tiara+ 'Yee .-No0 If Ye.,este depth of rrrarr 'F '�� t++•} � ° ����'� '�"'��,�+ <br /> Fi <br /> 'Work.erred w if .Cam lrted -•Tf'[v.h-1!:('�t'sw 1'rK♦ +• <br /> r,e. <br /> WELL DRILLER'S"STATEMENT: <br /> E t <br /> � 7bir url!fear drr!!ed'radn my fterndlrtroar nrd tbk'rrpor!!r lnr 1D(bt brallc, <br /> K * p(9)kWATI.41i EVELS1 y a f w { �r. �i �"r,��• <br /> o ar kno-deda nerd brlii f <br /> !ss ►'el.•. m 6ne famed-it ks..n "rr: <br /> NAME <br /> e ASt:.d.s lril Mfora k anuax.�it kssrn ��,, fr. <br /> ( s .41 1-11 dter <br /> !�ryr(cenctin and deer I - It. ` ''f tr•a frrw^.rsr n+parrn,_1 (Treed <br /> WELL + yTSf.x, ... Address .:1 x.n <br /> �' ''�"'tura• 1 ]°""'mad T sYe.Q Na `-f'�l I! r 6 howl r <br /> -d Yidd -�-ru'l.lrriy .f.;p;:• �•-lt drawdawr.r[trr. hn:` [[SIGNED] <br /> Trmprratrrr of:arrr:k`. - Ara a'rhrminl inalrtia made+ Yn❑ No or <br /> 4 rti t rlec rii I I.adrd wd11-Yn[] Na �. tF rn,r ark rn r License No. l��.0$1 - .Dated f �� IR3 �d ay I9ifjrr j <br /> SKETCH LOCATION OF WELL ON REVERSE SIDEAlk <br /> OWR 188 1+1eV.s.stt .. rin am TRIP 3 s <br /> i} <br /> 1 <br />