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HomeMy WebLinkAbout1620 e brundage _envirotech report 6.22.20_28-126ORIGINAL I'lln Original, Duplicale and Triplicate with tho REGIONAL WATER POLLUTION CONTROL I30ARD No ....... f� (I"Irrl 41pprefirtim mu tuber) (1) OWNER, WA 'WELD. DRILLERS REPORT (Sectlans 7076, 7077, 7078, 1Wnter Code) THE RESOURCES AGENCY OF CALIFORNIA (2) LOCATION OF WELL: IrAunty 12RP\I Owner'% number, if any-- Jt. F. D. or No. Street - _ Idn- and. _Potomac Streets, Tn . =11 C0.0h)tc about Q0 fac-;t north of U. .--o t ry 11c xi" n tr3 � r; � r• r (3) TYPE OF ,WORK (check): Ntw well jj� Deepening [D Reconditioning E] Abandon � 1f aball(loatirent, describe material and procedure in tlem 11. (4) PROPOSED USE (checA) : (S) EQUIPMENT: Domestic 0 Industrial d Municipal ] Rotary [ Irrigation .11 Test Well M Other [D Cable Dug Well {l (6 ) CASING INS'T'ALLED: It gravel Packed SINGLE: N DOUBLE d Gage or Diameter from to FZ"Om ft. to ftr.1 t Diem. Walt of Bore ft. ft. 64 -0 11 _701 xx f, No r[ xC f[ to 1. 11 CC ff x, 1/ to .t {x ,1 /f 1. Type 2nd size of shoe or well ring Describe joint Size of grave). (7) PERFORATIONS: Type of Serforatur used Size of ttcrforatiuns in., length, by From ft. to ft, .351 r1 •" of r«t. rts.r cr p Rows per fC. r1 Ii _. /l i• [[ (S ) CONSTP.UCTION • IX"% a stirfst;c smittiry seal prodded? ; 1 cs ❑ No To what dept}, �"} � f t, ,X /crc 21ty itrata SCAM,1 jxAinst pollutinni' Yes (:1 ;`o If yes, note depth of strsta Frorn ft. to � ti t� f =• x/ .r Cal (9) WATER LEVELS: i)Kt,t }t ir t.• }tic }I r, -atrr ,rst first fnuttd l' ft. titJnUitl t;, ieYel �, +rf Late ��tLfUt3tillh ft• St,ntlit}, let °cl sisct. } +trft►xytiyt;; , , , ft, (1 0) `YELL [ TESTS \V21 s 1+utt,I! test n,sdcT 7 es 4) No If yst, by ,v }II'm? " -• f f �'icf {l t. •'J '� y;st.1111in. Witt-, �• `•-ss ft. draw duwtt after l,rsx 'I"elttf +e'tat „rr of r<:tcr WAs a 'Jactttirsl at,alytit nt2de? j`_j Yes Q No NVA, eftctric ling iust c of well) [j yes r;o (11) WELL LOG: .., S • hxYY. 3s, 7 Do 2Vot Wild In ../. Nl? 11866%0 Start: 'Well Nu._x_ ,,i `:~►_. I'jf{�•.'j.,, Other Well Tutaf depth ao— ft- Depth of completed well 7 ()l it Fortnatiotit Deteribt by color, ch-srdrler, jizt of ma)erjal, x,nJ r1rnc1m._e. O ft. to2 4 ft. G ?y1cluC� t t0r 29 'C1n y 13-3 • • 1Z4 s arld & clay s tee aks 2211. 97 [hard sand .1-27 220 •sg- nd & streaks ciexv ?� .[ O �•��n� . x 0 Q . ' xyj) f. i . 1--In 1 r '+ +[ •L ;ni4_ r� 4 ' • L nand Y',=► � � rte; 54A AaMA-Ir M 60-5 •' rx ,[ ./ 11 f t to fx .1 t• s . ,t Code Sec. 7 ., 1• x1 i1 f1 „ x, [x as It ♦Y "tlrlC ,fitted f �� , 66 19 19 Wl:.LL MILLER'S STATE'M N`r This well was ilrilled r:rtJer my jurisdictiotr and Ibis reliart is trite it) /lie last of rir),knowlrtltgrand belief, NA NMI 1. {l!e »an, firm, ur turflclrati„tt) J't'yjlc.! ar J•r3nlyd} ttticiress ilk 0.- L :i.060 s � 1 [$1GStiL'D] _ .�. _..� ... -•,� - ` -= :,c:j 11...................... .------ ---- - - - - -. ----- - - - - -• -•- , Liccsisc No._ 3962.r SC'ri`t I }►flit � rll l �_ 6O llxtct................................. 47449 3_63 ISM QUtrt (D & xro DWR 188 Mr-V, 3.34)