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Of21GItVAt_ ri STATE OF CALIFORNIA SHBE7 � 39-620 i <br /> Orle?t,'Duplttafa.and Triplicate with the DEPARTMENT OF PU61._1C WORKS <br /> DtLY11011 OF WATF,R RHOURLES <br /> r gax r 5 , - <br /> OAQRAI�6NVq g CALIFORNIA DIVISION OF MATER RESOURCES <br /> Do Not frill fit <br /> WATER WELL DRILLERS REPORT F State Well No , �-`► � ��� '°" <br /> Other WellNo. <br /> (Sections 7076,7077,7078,Water Code) Region_ <br /> (1) Drdleri (2) Proposed use or uses (check)• (3) Equipment used <br /> N2me._W_fAGtOTm W_6U_X_TLUjAg Cil`.s e . Domestic [R Municipal ❑ (cbecA): <br /> Address ,2__W.t-,S=ta .(' ora f,---- --- Irrigation ❑ Industrial ❑ Rotary ❑ <br /> —.---sBA-Jose--caIjr.---_ ___ ___._ Domestic and Test'well ❑ Cable 14 <br /> License Irrigation ❑ Dug well ❑ <br /> Other __ Other_..... _ <br /> Owner• <br /> Nume-Tmoy �MGM- 801401 ------ (4) Type of work (check). <br /> Address___TrzW__j, GaUf• New well K] Reconditioning of well ❑ <br /> Deepening existing well ❑ <br /> (S) Well log: <br /> Total depth of well _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._..__1$._.__ft. <br /> ftax; i sand <br /> x <br /> O Al <br /> salld;v 03 Pata <br /> —86 G=981 <br /> . <br /> __19!?___ „ »--204---" Ssnd Gravid <br /> 204 ----243 " W131 Hard Gra3E May <br /> 2A .__ „ "......361-_ - „ <br /> bbl.-_-„ »__. __.._" <br /> -- 3fZ2­_ „ " 304 �...» 13111e Sand <br /> 384--- 'j »--40].----- " <br /> 'Na-rd StAft Blue May <br /> „_416— 141,18. Ei=i sand <br /> _... --- _" " ----43 ------ Blue Rim= Sand &_&Ian&_& gravel <br /> If ldditional space is required,continue on DWR Form No. 246—Supplement, and attach to respective report copies <br /> (6) Casing left in well: <br /> LENGTH DIAMETER SINGLE DOUBLE WI;LOED LBS Pr;R FOOT OR BEATING BELOW <br /> 1=T INCHES OTHER GAGE OF CASING GROUND SURFACE FY <br /> 91* - – 16: <br /> _....22..______ <br /> 5/811 pit <br /> Type and site of shoe or well ring_____Weldcij1oint&-0 Yes EX No 1 <br /> D W H FORM No P46 REGIONAL WATER POLLUTION CONTROL BOARD CV- <br /> _ 2361,2 SO AOM'�UiN 8T0 <br />