Laserfiche WebLink
ORIGINAL STATE OF CALIFORNIA Do not fill tit <br /> THE RESOURCES AGENCY <br /> Flit with AWR DEPARTMENT OF WATER RESOURCES No, 156309 <br /> 4&),l Intent \o WATER WELL DRILLERS REPORT State %}ell \.r <br /> rmrt No or Date - 4 j <br /> Other N ill \o <br /> (1) OWNERNamed and 12 WELL LOG <br /> � a f?"t <br /> ( ) Tota!depth— -_ Ft Depth of um,plrecd •.elL�..�ft <br /> Address from ft to ft Formation (Describe by color than,ter sore .,r material) <br /> Cats Zip 0 - - <br /> JI <br /> (2) LOCATION OF WELL (See to StnJLtIGM) - <br /> Count• 5` O neo s %�ell \umber io - n <br /> n ^ <br /> %tell address if different from tbo•e 1 w 7 r ,t - -' to 11 J <br /> - soma <br /> To,knship 2N Range . 1_Si?3 SectioQherr a d 60 8 C a <br /> Distance from cities roads railroads fences etc 80f t e a s t of 95 - 20 h9rd S? d s t o n A <br /> cherr land 2nd 10 ft . west of fence 90 - 95 hard, sandstone and rea '-r-v <br /> 125 ft, north cf waterloo Rd, - 102 Fraval in soft cla <br /> 102 - 130 brn clay <br /> (3) TYPE OF NNORh 1 0 - 1 silt st^nd silt clay <br /> f \ew Well M Deepenemr [:1145- �` 1 0 sandstone <br /> Recon stri,ete.m ❑ 150 - 2 7 mad soft s t 1 t c 1 8 .4 i t h <br /> '1 Reuondttion)ng ❑ \I - ;"racer e l <br /> A l v /V Horizontal bell ❑ 157 - 16 • a R nod rock <br /> Destruction C (Describe 1 '-- 170 dile d clay i n d 2 e p -r p vJ <br /> destructin aerials d <br /> r "��� �(�• tJ_�}_Q't prixedurom an <br /> es to ]tern 12) 170 - 118 s nd and xrnyaj 1e6�3e <br /> (4) PROPOSED USE 17 190 sticky clay some sBnd <br /> x D„me5t,e 190 - 3-95-- brn ela <br /> Irrigation 10 19 - 196 small -sandstone strata <br /> Industrial ,; ❑ 19 - 23 mostly C1a <br /> rest well ❑ 3 _- 240 brittleela , sandstone <br /> ZOa sto�k '­, - -> pan -sandy c1a _hard <br /> tiIumc,pal - `,x �distinpuish water be-rine <br /> WELL LOCATION SKETCH Other ❑ � O - <br /> (5) EQUIP\IE\T (6) GRAVEL. PACK 250' .- 260 to }t It T <br /> Rotary ❑ Reverse ❑ Yes ❑ No X Size \ - <br /> r <br /> Cable � Air ❑ Diameter of bore � L' <br /> Other p Bucket ❑ Packed - <br /> (7) CASING INSTALLED (8) PERFORATIONS no <br /> Steel W Plastic ❑ Concrete ❑ Type.rf perforation or size of screen <br /> From To Dia Cage or From To Slot - <br /> ft ft In Wall ft ft size - <br /> 11 <br /> (9) WELL SEAL �y� <br /> Was surface sanitary seal prouded' ]esR No C1 If •es, to depth -58 ft Were strata sealed against pnlluteon� les ❑ No ❑ Interval - <br /> Method of sealm \1 ork start i n V 19 Completed 19 <br /> (10) WATER LEVELS L WELL DRILLERS STATEMENT <br /> Depth of first water, ,f knos•n 6o ft Thu self uaa drilled under my virisd,chon and thea ret)nrt is tree to the best of my <br /> Standing level after well completion ft Anoudedge and belief <br /> (11) WELL TESTS SIGNED <br /> Was well test made' Yes ❑ No R If •es by ulaoma (Well Driller) <br /> Type of test Pump C] 7L Bailer ❑ Air lift ❑ NAME Thayer h� - <br /> er 118 1 Dri. ' 1 { n ri,,,,. <br /> Depth to +cater at start of test ft M end of test___ __ _ft (Person firm or corporation) (Tlyped or printed) <br /> Address <br /> P 0 b ox 361 <br /> scharge Ra!/mus after Rotors Nater temperature Loekeford Calif [ �7 <br /> 1 aaalys,s made Yes ❑ No ❑ If yes by +.homy Crh' <br /> the !ng made Yes ❑ No ❑ If•es attach copy to ibis report L,cetue \o 391 2 Date of this repo iVOP <br /> DWR 188 (REV 7 ,s1 IF ADDITIONAL SPACE IS NEEDED USE NEXT CONSECUTIVELY NUMBERED FORM <br />