ARCHIVED REPORTS_XR0011990 - Laserfiche WebLink

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OREG[I11AL -- , BION ul,D WATER and Triplicala with t110 — ;�Vl e,.1 M � i- DIYISION`DF WILTEp 1[I:f4UR(fI � [J P.D.BOX 1079 - SHEET 2 SACRAMENTO S.CALIFORNIA ' WATER WELL DRILLERS REPORT Do Not Fill in/-� r I (Sections 7076,7077,7078,Water Code) rRegion ell No._fN Well No ------------------------------------------ (7) Perforations: TYPe of perforator used-----------F� Perforated---------- .e�pry----------- --_-------------------------------•-------------------------------------------------------------- - _ft.>. to--------•-427--------------------ft. Hole size--��+-�� 1-° 2 No. of holes_ 1!__��-_� r-ows „ ------------------------------------- ,. ------------------------------------- --------------------- ] n apsr __sagexE >, >. ------------------------- --------------------- ------------------ ---------- ------ --------------------------- --------------------- ----------- „ -------------- ---------------------------- -- ----- - ------------------------------------ ., ., (8) Water levels: (9) Well pumping test: Depth at which water Date of testZ�a./50_____By whom 1,'es v@1 XI firc�.I lin�__ p•� 1 first encountered_----_----__ --------___ a��1� ------- Depth to water when test started______-�_________62 Depth to water r;0 �n eh5 ---------------------------------ft. before perforating_---On_'Ota y ____--- G.P.M. at beginning of test-------------- --------- Q---------------------------------- -----ft• Drawdown from standing Ievel_______________52___ Depth to water - --------------------•----------------f t• G.P.M. at completion of test--------- Q - after perforating-___-____------------------------------------ft Drawdown at completion of test_____________1r2 _ Note any change in water level while driIlin ------------................... ....ft. S Length of time tested________________!x6_ r1-Hr .__.. --------- ------ Temperature of water--------------------- ------------------- --------------------------------------- Was gas present in water? ❑ Yes ® No (10) General: Was well gravel packed?--------_YDS------------___ __Size of rock___��[�C�__ -------------Thickness of pack.___-________7{t_-_____ Was a surface sanitary seal provided?.____Yes__-_--_ -_________-_ Were any strata sealed against pollution? --------------------.-- ------------------------------------- g P ❑ Yes 1�0�I¢ --------------- yes, attach detailed description. Strata sealed_______ _ _ _ Was analysis made of water? ''{':;A, ❑ Yes ® 1 0 `lf yes,.-attach,cd&.,:"! ------------------------------------------------ Was electric log made of well? ❑ Yes f5t No--,If yes,attach copy. If well abandoned, was it plugged and sealed?-------_----- Method of plugging and sealing------------------- - ---------------------------------- ------------------------------------- (11) Location: (12) Time of work: Nortb /�•� Section No._ �� Z�� gISQ ---- ----1___� Work started date ______ ___•___Com Ieted date._2/0,/51_ _- Township_____Tl --------------- Date of this report----- March CF 19 ---I---------------SI Range -- - Base&Meridian-10111k.-AA � WELL DRILLER'S STATEMENT: Show location of well in Sec- This well was drilled under »ty jurisdiction and this tion,thus (X) report is true to the hest of vny knowledge and belief. Distances to section lines from well, N or S__13A? -5-f t. ~' _ ----- ---- - . LT ISIGNED Fri Ti YYFLL �_� ,LTJG_CO, r and E or W--2W-'!W--f t. wrn n,�rr--. Show location of nearest By well, thus (0) ,L ................. I MICE Distance to nearest known Li se NoA40 -_-Classification,---e-rJ'� well--------- _ Y ----- . ted---- --- I+r=a�•eh 9�" - .._._�:C-. ,�l- D.W.R.FORM No. 246 REGIONAL WATER POLLUTION CONTROL BOARR'COPY 23972 3-30 40M COIN f/D — rb