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OCAT1ON NOT CHEC <br /> ' ORIGINAL STATE OF CALIFORNIA SHEET 1 <br /> fheDriglnal;Dupllcaie and Triplicate with the DEPARTMENT OF PUBLIC WORKS _ <br /> ;�fY4 0b_01 WATER RESOURCES <br /> o B6X 1079„ DIVISION OF WATER RESOURCES <br /> 1SAGRAMENTO S CALIFORNIA [r <br /> r„k Do Not Fill In <br /> WATER WELL DRILLERS REPORT r fY State Well No 1 'l _-/1/-14" <br /> . r Other Well No <br /> 17 <br /> (sections 7076,7077,7078,Water"*) ---� �— <br /> Region----------- <br /> (1) Driller' (2) Proposed use or uses (check) (3) Equipment used <br /> Name_-@Foss 1X11_Dsi13 iM g _Gam., ht,d. _ Domestic ® Municipal [I (check) <br /> Address 522.1-_,Sant.&_01gra St _ Irrigation ❑ Industrial ® Aotary <br /> __San JQaP3 Ca2if. Domestic and Test well ❑ Cable ❑ <br /> License No —R=_5Q6"____—___Classification_ -C7-5?__ __ Irrigation ❑ Dug well E) <br /> Clwner, <br /> L 4 ~a / Other------ ----- — Other -- <br /> Name CBZ�.,fg=ia. Water _52=2_:QE_Cn; (4) Type of work (cbeck) <br /> Address_L,_P...__BOX_1.1.5.0,__San_,TQAe,---Calif� New well [g Reconditioning of well ❑ <br /> Re--_l%t_5'_4Qkton.GaL.f ---- ---------- Deepening existing well ❑ <br /> A-(0c'_'� <br /> ' (5) Well log <br /> Total depth of-,a ell __487_ _ _ ft Give details of formations penetrated, such as silt, peat, muck, sand, gravel, clay, shale, sand- <br /> stone,hardpan,rock Include size of gravel (diameter) and sand (fine, medium, coarse), color <br /> Depth from Ground Surface of material, structure (loose, packed, cemented, soft,hard, brittle) <br /> A ft to_ 4 ft 'mon Soil <br /> 34 , <br /> ' ------ 34 „ -S Sn-ndi_R31aeClay <br /> ---54 „ Hew6t Sand <br /> - 63 _ „- -6.9 - <br /> - - <br /> „ - -----�--- Aand <br /> --------� -- „ ,. -------�5 -- Sanda.-r�andy Clay Streaks <br /> -------95 --- „ u=2- Sand& Blae <br /> - _1,12 _ „ 120 Sad <br /> 120 17-3 Shy Blue G_lay _,_._.... <br /> 173 180 _ _ » Sand <br /> — 180 - „ --181 - Blue clay <br /> - X84 225 Heavy Sand <br /> - -2$5- - >, „ ----232- Blue C1 <br /> -------Z32 >,--- 24.9_----- " Sgndy Blue C <br /> lgy <br /> — 40 ___325------" Hard Sandy_Blue Shale <br /> -----M " ,> ---393------- „ Hard Blue Sanu Ma <br /> — -39 >, ---3 - SaAU Blue <br /> 39 ---_ „ „_ 42_1_----- " _Coarae Sand <br /> _ _ Hard Blue Shale <br /> 4 _-_--_ " Hard Blue Cl - } <br /> n , „ <br /> ' K If additional space is required, continue on DWR Form No 246---Supplement, and attach to respective report copies <br /> (6) Casing lef t in well. <br /> LENGTH DIAMETER SINGLE DOUBLE WELDED LBS PER FOOT OR SEATING BELOW <br /> ' r FT INCHES OTHER GAGE OF CASING GROUND SURFACE FT <br /> N <br /> __,6n ---- ----- ��- -- -- _--VA I't- -_--- - ------ - ----"21- <br /> -------- <br /> z----3�"- -- n rr - -- '�------- - -65------- <br /> Type and size of shoe or well ring__MQnWelded joints---lid Yes ❑ No <br /> 4 t C <br /> 0 yV R FORM N0 las REGIONAL WATER POLLUTION CONTROL BOARD rA)PY <br />