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- CCATI ON NOT CHE( D <br /> OI2IGII�IAL STATE OF CALIFORNIA <br /> 1110 r10111lr Dupiicale and Trip11tale w€lh the DEPARTMENT OF PUBLIC WORKS SHEET 1 <br /> �(VfSfbijf WATER RESOURCES <br /> P °4®6i '� <br /> SARAMENTO S CALIFORNIA <br /> NIA DIVISION OF WA <br /> 0 <br /> ER RESOURCES r ` <br /> W�„� Do Not Fill In <br /> WATER WELL DRILLERS REPORT ,r� <br /> �., � -� Other Wel! No _ <br /> --- <br /> {, (Sections� 7076,7077,7078,Nater Code) , �ri,r ' Region - -- -- <br /> (1) Driller (2) Proposed use or uses (check): (3) Equipment used <br /> ' Name WE5tparn WjeU Dril 1 f n& Ca., U41. = Domestic ® Municipal ❑ (check)- <br /> 22 lid <br /> Address 52 .-Sal ta-01gra St.- Irrigation ❑ Industrial ® Rotary <br /> San JoRei Calif. Domestic and Test well ❑ Cable ❑ <br /> License No__R-5Q683__ ___ Classification _ 0-57 __ Irrigation ❑ Dug well ❑ <br /> ' Owner ?_ 9 —Q / Other Other ------- _ <br /> Name Califorui-a-dater SerszCe Go. (4) Type of work (check) <br /> ' Address_F,__ 0.- � 115Qi__San Jooei Calif. New well Reconditioning of well ❑ <br /> -Well 4t_$frQ Deepening existing well ❑ <br /> (5) Well log <br /> Total depth of well __4$7 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 /> ' __ 0 _ ft to 4 ft Top Soil _ <br /> 4 34 " Saii y C]ax. (Waal <br /> 34 54 Snnjj 131-n-a Clay <br /> 54 63 Hew& Sand <br /> 63 „ 69 - -- 11 Blu clay <br /> - 69 ., - -82_ 5nd <br /> --95 - 3-and, Sandy Clay Strenkip <br /> IP" 95 112 Sandi Blue- Qlw� <br /> „ <br /> ].12 -120-- Sand <br />' _ 120 „ 173 - SandY Blue Clay <br /> 3333 - - <br /> x73 180 Sand <br /> l BlCl <br /> 180 ue„ •-• .. <br /> Hegyy Sand <br />' 285 ,. ___--232-__ Blue Cl <br /> __ __232 - „ 24) 3 Blue C <br /> Hard S4ALdBlue SkM29 <br /> - 3253 _ Hard Blue Beady <br /> Sandy Blue Glay <br /> --3398 „-------=_ Coarge Sand <br /> 421-- ,. „ _---k 82 " Hard Blue Shale <br /> -402 „ 33 _ ” Hard Blue Cl&y <br /> If additional space is required, continue on DWR Form No 246—Supplement, and attach to respective report copies <br /> (6) Casing Ieft in well <br /> I� LENGTH DIAMETER SINGLE DOUBLE WELDED L138 PER FOOT OR SEATING BELOW <br />' FT INCHES - OTHER GAGE OF CASING GROUND SURFACE FT <br /> A3 <br /> Y - - -- -- ----432-- <br /> -�� <br /> ------------ <br /> ----------- <br /> ---- - -3333------ -3333- -- - --- ---------3333--- --3333--- ----- -----------3333-- ----- -- - <br /> m i� <br /> Type and size of shoe or well ring _rieri�elded points—j� Yes [] No <br /> _ ; , <br /> - <br /> t1'r R FORM Na 246 REGIONAL WATER POLLUTION CONTROL BOARD COPY <br /> Y]G7,}ao IOM�U1N SPD <br />