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• R <br /> QRIGINAL. STATE OF CALIFORNIA $t1EEQ 39'9U88 <br /> File OriQriaffbopWle aad Triplicate with the DEPARTMENT OF PUBLIC WORKS <br /> I <br /> D#Yt510l1 OFWME-S4-4#t,QFSOl18(ES -DIVISION OF WATER RESOURCES <br /> 0 <br /> P 0 HO;t 1a�7D � w -- -- <br /> SACRAMENTO S CALIFORNIAItcl <br /> Do N ill In <br /> WATER WELL DRILLERS REPORT State Well No r�.�GC t <br /> Other Well No.�_ <br /> (Seetsons 7076,7077,7078,Water Coda) �}v/ „._ _S <br /> Cif // Region- _ <br /> (1) Driller: (2) Proposed use or uses (cbeck): (3) Equipment used <br /> Name—P:Ui 'k !Veil � ' � xtg_GO* __ _-_ _ Domestic ❑ Municipal ❑ (check) <br /> Addreu_20Ese....Cha.rter WU__ _.. Irrigation ❑ Industrial ❑ Rotary ❑ <br /> Domestic and Test well ❑ Cable 3] <br /> License No�2�2Q�._ _--_Classlftcation +��5� _ _ Irrigation � Dug well E]Other_Air_._ Qndt;,oning Other <br /> Owner: <br /> Name Fox West Coast Theatxas_ _ _ (4) Type of work (cbeck) <br /> Address_---6-(- <br /> _gg WR WashzngtOn New well <br /> Los �n es Ca if � Reconditioning of well {] <br /> �a� ---_s� •_ �______ _�____ Deepening existing well ❑ <br /> (5) Well log: <br /> Total depth of well 0___ft. Give details of formations penetrated,such as silt,peat,muck,sand, gravel, clay,shale,sand- <br /> stone,hardpan,rock Include size of gravel (diameter) and sand (fine,medium,coarse),color <br /> Depth From Ground Surface' of material,structure (loose,packed,cemented,soft,hard,brittle) <br /> 0 ft to__ _...._...ft. Basernen-5 <br /> � -- 1, -3 8 ,. Yellow Gla <br /> P. Sam <br /> _4$-_ _,. „_ _6z _-.-..._. 1. Yellow clay <br /> -�J-- -. _ and &_ gravel <br /> 687 -., l2$ >� Blue clay <br /> NPOW-C28 _ :L34 _ Sand &_gavel <br /> Blue clay <br /> il5 1� �. ,. -- .. . Sand & ravel <br /> } Blue clay <br /> Big gravel - <br /> �23 Blue clay _ <br /> .;• <br /> If additional space is required,continue on DV/R.Form No 2419—Supplement, and lttach to respective report copies <br /> I <br /> (6) Casrng left in well: <br /> LGNGTH DIAMETER SINGLE DOUBLE WELDED LBO PER FOOT OR SEATING BELOW <br /> FT INCHES OTHER GAGE OF CASING GROUND SURFACE FT <br /> dQubl; e—_____ __ _ --- �- __ _ __233 <br /> Type and slzp of shoe or well ring___-_ Welded joints---[-] Yes M No <br /> D W R FOAM No tae REGIOJNAL WATER POLLUTION CONTROL OARD COPY �' xs�yr3lo.a..auU4Boo <br /> z <br />