Laserfiche WebLink
ORIGINAL STATE OF CALIFORNIA r Do not fill in <br /> R THE RESOURCES AGENCY <br /> File with DWR DEPARTMENT OF WATER- RESOURCES No. 071446 <br /> of Intent No. WATER WELL DRILLERS REPORT State Well No. <br /> L—:i Permit No. or Date_91-3 5Q Other Well NA-9 9 tJ Q4�� <br /> (12) WELL LOG: Total depth-400—ft.Depth of completed welhao ft. <br /> from ft. to ft. Fomration (Describe by color, character, size or material) <br /> O - TO soil <br /> (2) LOCATION OF ��ELL (See instructions): b Shale & clay <br /> (j - � clay-Coun an oaqu n <br /> O <br /> ty_ x wneis Well Number- � - ') Sand\ <br /> Well address if different from above __ <br /> Clay 3. � <br /> Township__ --Section— _ C ay <br /> 1+1 <br /> Distance from cities, roads,railroads,fences,etc. Thornton Rd. - n v <br /> south of DeVries Rd. , end=s of road <br /> west side 'T- <br /> - loi< \ <br /> (3) TYPE OF WORK: <br /> New Well X Deepening ❑ 4112 7a <br /> IL <br /> Reconstruction ❑ - <br /> Reconditioning ❑ - <br /> Horizontal Well ❑ \� - <1\ n <br /> Destruction Ej (Desen'be <br /> destruction materials . \, _ t <br /> procedures in Item 1 <br /> i <br /> c♦ �. <br /> (4) PROPOSED �� s� <br /> Domestic <br /> Irrigation�� <br /> Industrial\ ❑ 2 An <br /> Tett Well <br /> � ❑ \)- 6-� a <br /> Stock, <br /> l` 6 - 2, \t5«dnd <br /> ifnnic Pv` q? 77 - Cla <br /> WELL LOCATION SKETCH Other ❑ J2 - 35�/ Sand <br /> (5) EQUIPMENT: yy (8)�GyRA�E�ACK: � � ��� <Z - � Clay <br /> Rotary D Reverse Y1t [a No Size a' { ��„ SancT <br /> \ �t fr <br /> Cable ❑ Air [) tr? ter of bore_2 - ay <br /> Other Q Bucket L1 enrr` OfT o Eta - an <br /> 00 <br /> (7) CASING INSTALLED: \ (8) ERFOAATIQ'\SS•, 365 ay <br /> Steel x Plastic Q Coq\c�etc�\iQ'4J1 Type of per(-'pn or size of scree N - an <br /> From To Dia. Gage_dr li o \ To 1`� - ay <br /> ft. ft� in. Wall t . \ ft. sizb� - an <br /> � t>1 - ay shae <br /> Pi 0 1,16 <br /> D <br /> (9) WELL SEAT.: Vv � .t - <br /> Was surface sanitary seal provided? Yes IQ No Q If yes, to dept10 t. <br /> Were strata sealed against pollution? Yes Cl No ❑ Interval ft. -• <br /> Method of sealfn Dot f a ipe Work started_ 19 Completed 19—_ <br /> (IQ) WATER. LEVELS: WELL DRILLER'S STATEMENT: <br /> Depth of first water, if known ii_ft. This well was drilled under mg jurisdiction and t `. report is true to the best of nzy <br /> 55 Sti31r!r(^ ft. lie(. <br /> Standing level a _ <br /> -titer well completion__ `_ knowledge and be <br /> � <br /> (11) WELL TESTS; SIGNED_ <br /> Was well test made? Yes No El If yes, by whom?_ Aconin S (Nell Driller) <br /> Type of test Pump { Bailer[] Air lift El NMR.,JAMR Hennings Bros. Drill-ing Co. �Inc. <br /> Depth to seater at start of test_ .ft. At end of test 109 (Person, finn, or corporation) (Typed or printed) <br /> 'rg2_b91 gal/min after flouts Winter temperature Address 1525 Pelandale Ave. <br /> Al analysis made? Yes ❑ No X If yes, by whom? CityMorleGt Com. Zip - - - nom_ <br /> Was electric log made? Yes ❑ No If yes,attach copy to this report License No. zz_ �_ _Date of this report 10L-.. <br /> DWR 188 (REV.7.76) IF ADDITIONAL SPACE 1S NEEDED. USE NEXT CONSECUTIVELY NUMBERED FORM <br />