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HomeMy WebLinkAboutWEC Well Report / Log ii OWNER.. , ...Mw SB/1 �r�"�: -' "" 33 `^ i`•'a^�3,�a.R.i _ f/ • -N.. �—W.M.. LOCATION'OF' WELL• county • ,, �j(•— �1� a"- te-- - STREET ADDDRESS OF WELL(or nearest ad«saa) PROPOSED USE: ?Domestic Industrial 0 Municipal❑ : (10) WELL LOG or ABANDONMENT PROCEDURE DESCRIPTION ❑ Irrigation ❑ DeWster Test Well 0 Other '❑ Formation: Describe by color. character, size of msledai and structure. and show thickness of aquifersand 11. me kind and«tore of the o metered In eedt stratum p !tad• ; erw.0 TYPE OF WORK' owmeenumberwitty at W «ataentry1«each tlrano•of bformann. " ' (if more than one) MATER" FROM TO Abandoned❑ New well :• 00 Method: Duo 0 Bored 0 / . , '.' .. •9.:N< Deepened 0 y, Cable 11 Driven 0 ,,-f. t..;at a - K, ct; Reconditioned Cl' Rotary.5 Jetted 0 - ' ' '_ - DIMENSIONS: Diameter of well „ ---Ir)ehes. Drilled—Y-7 " (set. Depth of completed well /�r / tt• y CONSTRUCTION DETAILS: e Casing Installed: _Je_ DWn.from*/_4_n-to4t6 h :h. t / . '. , Welded Dlam.from h.to «c Line bst•Iled D m,from n.to h. /[iw.,y-� t .6Li �! I. Threaded UUUUUU Perforations: V« x P11 Type of pMoat«used yi Q . 'r.. .T SIZE of edoretkfns b• .7M4Zr.. R to '=mat✓i.+ .'E l'lQ ..• qtp•.$.:MTr..., :r: Sy^ ::s. -7 F•� perforatlwu from. . -e perforations from n,to n, Screens: 'YeaD No ManulscturesNam• 1 i :. .. ., Type Model .. . ry Dlam Sbt el:e Erma n;to h. 4i Y tv Diem Skn size frt n,to h- n st > • Gravel pal:ked: V« 81z.of l=evel orevel placed frtr - • ft.to n. l.. Surface ius".; "Z Na(J aTO wnat depm•) {L1 n. n.Y•:�; Ibr•-• Matedn used in af/CYO Ow any strata cerdain unuaeaN watts Vea❑ Nox I Type of watts �' n�,ah olnnt- ..r f'c . _if I lthod of s«wg stmt•on r" • "PUMP: Wmdactwses N•ms : t... Type: HP .. • .r_,.. ' Land-aurfa«elmuan . ' h. - // y .. !a.r.-.+ WATER LEVELS:f •� . •rv�bovs m•«a•e level Static level '7 '_'t'}."' n.below top of well Date T MaWnpreesure - am per F«reI , 1df8a:'}16r,M:...._ a ..,�{t_. . - r-�1•��. •. 'Meal•n water or Naostrelled by-..I ,eves r41 work started ^< . Ig, ed ' .to_.. WELL TESTS: �wpc b lint N �w�l •mg twaterlov lowered below Melia level Wes,pump ten made?veeL.J NoIJ nye•Mw+«sy WELL CONSTRUCTOR CERTIFICATION: , ... ' •- View: pre./rob.Wtn n.dr.wdowm aster f1fe• I constructed and/or accept reaponaibility for construction of this well,'-ñ .. •• and its compliance with all Washington well construction standards. �r1 .. •�•• .„ Materials used and the Information reported above are true to my best • knowledge and belief. e^`x - ;,:`# ?r •� Y Recovery data likes taker as zero when pump turned (,,(water vel measured ' .q.� .,. .z. , ; 1, k��t f.y. from well top to water lMD - ti 1 y( �• ..r Tbw..l.,Watw L•W Tkaa ^. w.w t...w •t 1Ms .wMw tww +{�f t,tQfllS t}�l yt/r .A_ .: ... • 1� (PERSON.FMC `^^„"^^t"'•) ,w- ?'----- (TYPE OR PR«n ... .. -Date of ten �C (Signed) ^~ yLicense No Belief test gal.1rob.with _ h.dra down after .,__:• M. �. r:lwELL •• fM� b.., Contractors '," Almost 6L gaL/min.withstemeatst —R.fo hrs. Regietratl _ "-t°"!' ' Artesian flw N Data .1g— Temperatw•of wt«_Was a chetmical anahw made? V«❑ No -(USE ADDITIONAL SHEETS IF NECESSARY) 01.30 1101sT) .1320 ®_ e ._ • 1