Laserfiche WebLink
OPUGINAL STATE OF CALIFORNIA DO not fill In <br /> ¢¢33 V1' �eVV THE RESOURCES AGENCY <br /> File with DWR DEPARTMENT OF WATER RESOURCES No. 24835 <br /> Natica of Intent Va. r/ WATER WELL DRILLERS REPORT a State Well,O. ram. <br /> Loco Permit NO.O[Date /7^3 51=V1 i1i Y'�' Other Wall <br /> (I2) WELL LOG: Total dapth-10-5t.Depth of comported melt 270 ft. <br /> from ft. to ft. Formation (Describe by volor, cbamcter„size or material) <br /> 0} Top soil <br /> (2) LOCATION OF WELL (See instructions): Fine sand <br /> County_sl❑an ca4771.n1 Otvneis Well Number "6 Blue clay <br /> Well address if different from above 5— 3 t11a' (�, <br /> Township Ranio p�,�,, Sroio. 3— lue sa qN//y <br /> Distance from cities,roads,railroads,fences,etc.+�.SLS��4e & 90— B slay" <br /> x 20 95-103 5a ' <br /> Cl <br /> an <br /> (3) TYPE OF WORK: <br /> New Wall X Deepening ❑ <br /> Recanstmction ❑ 16 c <br /> Reconditioning ❑ 0-200 Sa <br /> Horizontal Well ❑ va 0-21 a sand <br /> Destnwtion Q (Describe —2 0 (QG ra <br /> destoutYan materials <br /> procedures in Item 1 :lH0 2 Sa d <br /> ('1) PROPOSED d w <br /> 250-2 Fine s• - <br /> Dnmestin 255— Blue <br /> Irrigation 2 2 0 Cla <br /> IndnsMal ❑ �, Blu <br /> set <br /> mWall ❑, <br /> a 9 <br /> L unmi < <br /> WELL LOCATION SKETCH Other ❑ <br /> (5) EQUIPMENT: (n) GRA PACK: — <br /> Rotary ❑ Reverse QC I2' <br /> Nu Size. <br /> D ❑ ore <br /> _ <br /> Cable AYr r tar of b <br /> Other ❑ Bucket Q� ram 2 O _ <br /> (7) CASING INSTALLED (8 PERFOR S: louvere <br /> Steel Plastic ❑ C or Type of pe �'on 0*ze of scree <br /> From 41� <br /> Dia. (�• r F o To <br /> ft. ft.0 1. <br /> (0) WELL SEAL; <br /> Was surface sanitary sent provided? Yes J No Q If yes, to depth— (.O—ft. <br /> Were strata sealed against pollution? Yes ❑ No ❑ Interval It. <br /> Method of sealfn 77 Work started3 19 Completed 19— <br /> (10) WATER LEVELS: WELL DRILLER'S STATEMENT: <br /> Depth Of first water, if know It This sell roar drilled under rap hoovdiotion and this report is true to the beet of rap <br /> Standing level after well couple io R, knowledge and belief. <br /> (11) WELL TESTS: SIGNEn {lll�> <br /> Was well test made? Yes ❑ No CC If yes, by whom? (Wei- ei idler) <br /> Type of test Pump ❑ Bailer❑ Air fift❑ NAME,4Pnnl ngs Bros PTl l l].n�' fa)-_ter T C <br /> Depth to water at start of test ft. At end of test ft 35�25(Person firm or corporation) (Typed Arta <br /> Discharge Sal/min after hauls Water temperature Address 3q�5^a Pelandale Ave <br /> Chemical analysis made? Yes ❑ No L5t If yes, by whom?_, a_ Zrp 9P+�_ <br /> ]ectric log made? Yes L) No If yes, attach copy to this report License No. of�_ note of this rapo — <br /> RI <br /> I8Is (REV.]4aI IF ADDITIONAL SPACE IS NEEDED. USE NEXT CONSECUTIVELY NUMBERED FORM AMs.sso l-rc cows enpn Oar osa <br />