Laserfiche WebLink
ORIGINAL <br /> File Original,Duplicate anddriplitate with the SHEET 2 <br /> DIVISION OF WIRER RESOURCES <br /> P.O.BOX 1079 <br /> SACRAMENTO S,CALIFORNIA <br /> /I <br /> )••� WATER WELL DRILLERS REPORT Doof Fill In <br /> (Sections 7076,7077,7078,Water Code) <br /> State Well No-------------------------------- <br /> Other Well No--------------_ <br /> Region----------------------�-------------------- <br /> (7) Perforations: <br /> r <br /> Type of perforator used-----------------------1'1ili5-------------------------------------------------------- <br /> ---------------------------------------------------------------------------- <br /> Perforated_____________-__--L_4S---------ft. to-------------I_ -f t. Hole size-VI-6 <br /> " -----------------17-6---------„ „-------------184----------------„ I, >, <br /> " -----------------x.-90---------„ --------- 1 9----------------„ ,> It ,> <br /> ---- ------------------------------------ ------------------------------------ <br /> >, , „ „ <br /> ,> , „ „ <br /> ---------------------------------- -------------------------------------- ------------------------------------ ------------------------------------ <br /> ------------------------------------ -------------------------------------- ------------------------------------ ------------------------------------ <br /> 11 <br /> ,; <br /> ---- -------------------—----------- ------------------------- <br /> ------------------ --- <br /> ----- --------------------------- <br /> „ <br /> (8) Water levels: (9) Well pumping test: <br /> 2/$/52 Clark Well Drilling Co <br /> Depth at which water Date of test --By whom __________________23 _ <br /> first encountered.-------------- 2.3 ------ft. Depth to water when test started._______________________ --------fr. <br /> Depth to water G.P.M. at beginning of test___________________________________________________________________- <br /> before perforating--------------------------------------------ft. Drawdown from standing level_________________ --------ft. <br /> Depth to water G.P.M. at completion of test_______________________ l 2D <br /> p g ft. Drawdown at completion of test_______________________ __.ft. <br /> after perforating---------------------------- --- - �- — <br /> ✓ Note any change in water level while drilling Length of time tested_______________________________ $ �OL1rS <br /> ------------------------------- <br /> ------------------------------------------------------------------------------- Temperature of water---------------------------------------------------------------------------- <br /> Was gas present in water? ❑ Yes Ej No <br /> (10) General: <br /> Was well gravel packed?-------- - No ----Size NO of rock-------------------------------------------Thickness of pack------------------------------------------ <br /> Was a surface sanitary seal provided?________________ ___________________ <br /> Were any strata sealed against pollution? ❑ Yes ® No If yes, attach detailed description. <br /> Stratasealed---------------------------------------------------------------------------------------------------------------------------------- <br /> Was analysis made of water? ❑ Yes ® No If yes, attach copy. <br /> Was electric log made of well? ❑ Yes dd No If yes,attach copy. <br /> If well abandoned, was it plugged and sealed?_ - <br /> Methodof plugging and sealing ----— -—----- ----------------------------------------------------------------------------------------------------------------------- <br /> ,r - <br /> (11) Location: (12) Time of work: <br /> Nortb Section No.-I-2- Work started date__2,1'5_l ompleted date-Z/8- 52__ <br /> Township----�{r -�`1--------------------- Date of this report----2 5-2------------------------------------- <br /> Range--------6Z----------------------- <br /> Base&Meridian___",'I ---------------- WELL DRILLER'S STATEMENT: <br /> Show location of well in Sec- This well was drilled under my jurisdiction and this <br /> tion,thus (X) report is true to the best of my knowledge and belief. <br /> A Distances, m <br /> to section lines fro7 <br /> well,-esor S ©0---.__:ft. �S1G�TED�_--.__01arZvellDrillinb- <br /> V <br /> __ - ---------- <br /> and E or W_-_!25 ft. <br /> Show location of earest B r. <br /> known well'�'lhus.(O ""-icn�vh .•� <br /> ries- <br /> � t '31tC License No. bb <br /> .702_____Classification._SC'__57_ <br /> 1 MILE Distance to t kopr�;,; . <br /> well--------- 3......ft, Dated...../Z/11.14-2........._._., 19........ <br /> D.W.R.Forth No. 246 REGIONAL WATER POLLUTION CONTROL BOARD COPY 22972 3.50 40M:UIn s.o <br />