Laserfiche WebLink
:rTAt'r:or:.rat-7P6RNfA -_�. <br /> ORIGINAL, THE RESOURCES AGENCY ,Do not fair in <br /> bile With DWR OEFAMMENT OF WATER RESOURCES <br /> WATER WELL DRILLERS REPORT N0. 361945 <br /> g once of Intent No- State Well Na <br /> YLocal PcrWt No.or Date ]�l� �� Other Well No,� <br /> (1) OWNS$ Name (12) WELL LOG Total depth 145_ft.Completed depth __ft <br /> CityCifrom ft to ft Formation(Describe by color,character,sive or material) <br /> ery zzP 0 — 5 Sand <br /> (2) LOCATION OF WELL(See instructions) 5 25 Clay <br /> (,aunty Qwner's Well Number 25 35 Blue C1a <br /> Well address if different from above 35 — 39 Blue $and - <br /> Tov,rmhil? liengc Sectiotl 39 61 Blue Clay <br /> Distance from cities,roads,nulroads,fences,eta 61 — 67 Blue S <br /> 67 — 108 Blue Cl <br /> 108— 114 F i rLe, Blue nd <br /> 114-- 119 Goa lue Sand <br /> (3) TypE OF wonx 119— 12 5B 1 u <br /> New Well)U Deepening ❑ 125— 14I u@ a n <br /> Recomtauction p 140— 445 e Clay <br /> Recondihontng ❑ <br /> Hormantal Well ❑ <br /> Destruction ❑ (Describe Noe <br /> destruction materials and pro- <br /> cedures in Item 12) <br /> (4) PROPOSED US <br /> Domestic <br /> Irrigation <br /> z Industrial © _ <br /> `f 1 Test Well <br /> Munics <br /> O�ker <br /> WELL LOCATION SKETCfi < fbe) — <br /> (5)EQUIPM6NT, VkGRA S <br /> Rctaryxx Revere ❑ 114%4 No S <br /> Cable ❑ Air ❑ tat <br /> of bore <br /> Eli <br /> Other B an — <br /> (7)CASING INSTALLED (il} FEO T w <br /> Steel ❑ ?laatsc of f va of sire eE <br /> From T Gage or t <br /> ft, f z Wall W (ze <br /> scrPoll <br /> (9) WELL SEAL- 5 0 — <br /> Wassurfaoe mnilnry seal prwMed? Yes)Q( No❑ If ,yM to depth ft _ <br /> WerestmtnscafedagatmtpollutioeP Yes 0 no© Interval ft <br /> Nwhodofseahng BENTONITE Workstarted 19 Completed lf} <br /> (10) WATER LEVELS WELL DRILLER'S STA t SMENT, <br /> Depth of flnt WOW U lmnwn it <br /> Standing level afterwell complellan—- 1 f( ft This well was under m 1urRsdwtton and this report to tare to tli a <br /> bw1 of ml knowledge <br /> and hcrie� <br /> (11) WELL TESTS <br /> as well last made? Yee ❑ No Q If yar,by wboms Signed (well ) <br /> P12 of test pump ❑ Bader ❑ Air hft ❑ NAME U <br /> th to waterst statt of test ft AteM ftat R <br /> (F fi��ar Liao (T orprinted} <br /> gal/min after Bran waMrtmpeeatuts Address 5 P ^i`DA � - - — <br /> Chenuml aaahads made? Yea ❑ No EX Ifym by whom? city_., MODEST 0 . CA ZIP 9-9.9 5 6 <br /> was electricleg made Yes p No(A Ifn attach c2ff to this t License No. 290813 ___ - -Date of this Mp2d f)F C - 1 1., 1 Q 90 <br /> DWR 1811 M".. Ia-88) R7 ADDITIONAL SPACE IS NEEDED USE NeXT CONSECUTIVELY MVMBEMECF FORM sd 96W <br /> i <br />