Laserfiche WebLink
ORIGINAL STATE OF CALIFORNIA DO not fill to <br /> THE RESOURCES AGENCY �f <br /> Ile with DWR DEPARTMENT OF WATER RESOURCES No. 072877 <br /> 'y of Intent No WATER WELL DRILLERS REPORT Stile N1 ell No <br /> }ermit No or Date <br /> Other %%ell Nn0 <br /> NWEROXY CHEM WELL LOG 50 514 <br /> \time 12� � Told depthft Depth of cnrnpleted mC11 !t <br /> -ld""' from it to h Fririnat)on (Descnbe bs color character size nr matenal) <br /> t, ATHROIOP CALIF Zip 0 26 sand <br /> l LQ� T1S) OF K7ELL (S,, Instructions) Ik12 26 - 68 clay l <br /> unh J A IV Owner c \�ell Number J' 6 y sand, ' <br /> ill address d different from above �+ X64 - 1 5 clay'-, <br /> "o+hip" -_1S _Range 6E Sectrnn 1 5 - 102 sand <br />',lance from) cycles reads railroad lento etc 102 -126 <br /> 77p-Ta y <br /> (3) TYPE OF WORK � \ \ <br /> r ay <br /> New Nk ell-TD Deepening ❑ <br /> Recnnstnrctron ❑ - <br /> Reconditioning ❑ -382 <br /> llonznntal NN ell © AE�s -4o6 clay <br /> Destruction ❑ (Descnbe 4o sCj -432 Sand <br /> destruction matenals add <br /> procedures in Item 12k' 1 2 -466 clay <br /> (4) PROPOSED USE 46 -494 sand <br /> Dornectrc c 494 -5-10 clay <br /> Irrigation Cl - <br /> Industrial ❑ - <br /> Test�Well ❑ - <br /> I V <br /> Stock �] - <br /> Municipal, ❑ - <br /> WELL LOCATION SKETCH Other �Jjz-C - <br /> 5) EQUIPMENT (6) GRAVZ ,PACK <br /> rti <br /> otan ❑ Re\erie ❑ ❑ No ❑ Size - <br /> ihle ❑ Air ]❑ *Iai*eter of bore <br />)they ❑ Bucket ❑ - <br /> 1 CASING INSTALLED `\ (8)�PERFORATI01,� - <br /> cel IZ Plastic ❑ Co �e� Type of perf�raAt>n or Dscreen"-" of scree " - <br /> From To DIa Gage-e� F \-" To 1 � <br /> ft ft ` In Wall ft ft - <br /> 0 510 Is 300 320 '$ajyer flo - <br /> �. 3 TO_ - <br /> o L - <br /> 4) WELL SEAL - <br /> t yr surface samtan seal pro,tdeO ]es No ❑ If )es to depth it - <br />%Lre strata sealed against pollutrnn� Yes {] No ❑ Interval-fit - <br />,lethod of seahn NNork started 19 Completed _19 <br /> 10) WATER LV-ELS WELL DRILLERS STATEMENT <br /> hpth of first mater if linen ft Ihrs wtll was drilled under arty jurisdiction and this ra7utrt ii tnre tro thf hc,t nJ mir <br /> I indent, level after well completion h l.rin+t.ledf r and belief <br /> 11) WELL TESTS SIG t,FE) <br /> i, cell to%t mtde' IL] Nu [J- If acs by whom+ (NN ell Driller) <br /> of test Pump Bailer ❑ Air lift ❑ NAME EATON DEJILLING CO INC <br /> lhpth to water at start of test ft At end of test ft (Person firm or corporation) (Typed or printed) <br /> P 0 BOA 275 <br /> NN rater teen perahrre rNddreas WOODLAND CA <br /> )cal analysis made Nes ❑ No [:1 If y • <br /> es by whom" Cl -- - t <br />�1 a Icetnc Ing made les ❑ ATo ❑ If yes attach copy to this report License Nn 1337830[ _ Dite of this repo <br /> $ teev � gay IF ADDITIONAL SPACE IS NEEDED USE NEXT GpNSEGUTIVELY NUMBERED RORM <br /> r <br />