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! VVl ALlVV - IV.VV 1':L1 I <br /> SRIG 'NAL STATE OF CALIFORNIA SHE.F,T I ^� <br /> i 1 --51e Orlj*al,buplkale and Trlpllcee with the DEPARTMENT OF PUBLIC WORKS <br /> 1 DlMfiil4H OF YVA407$1 RESOURCESP.O.BOX fOYy DIVISION OF WATER RESOURCES �1 <br /> 9ACRAMBNTD 5,CALIFORNIA <br /> Do Not Fill In <br /> �•.:.'---- <br /> r WA'T'ER WELL DRILLERS REPORT Other Well No-------`.------ <br /> (S action&7076,1077,7078,Waeer Cada) �� -JRegion. �- <br /> (1) Driller! (2) >propot ed use or uses (check): (3) lNuipm'eat used <br /> Name------St oe:lctOx3--� fir Motu--Works-------- Domestic <br /> ® Municipal <br /> ' (Cbeck): <br /> Addresa-----l ib- .- ar1�38t S T96�------- Irrigation ❑ al ❑ Rotary <br /> ) <br /> ....,�tD�]d.02Lr--0111#p�IliB.. .,-----•-•..•-•---__.._._ Domesric and ,Test well F] Cable '❑ <br /> i License No..Ea Q..---...-.,Classificatiou_G-x-.57---. ---. ---.- Irrigation ❑ Dug well ❑ <br /> Other Other <br /> i <br /> Owner: <br /> Name_-----Fa�ancis_La3>�£i21Ce..:-----.............--............... (4) Type of work (cberk): <br /> Address..-5D3_.X0r_tbL-•Qr_o__Av_e----------____—__.._.-__------------ New well Reconditioning of:well ❑ <br /> eta C#.aria_..Ga1it�01' -----....•------------ Deepening existing weU ❑ <br /> d <br /> (5) Well log: � <br /> Total depth of well.---___150L......f c. Give details of formations penetrated,such as silt,peat, muck,sand, ravel, clay, shalt,sant]• <br /> stone,hardpan, rock.Include size of gravel (diameter) and sand (fine,medium,coarse), color <br /> Depth From Ground Surface of material,structure (loose,picked,cemented,soft,hard,brittle). <br /> j --------------------ft. to ...........-_ft. S4]2 Soil <br /> 27 • Bro2m -Rgrd <br /> f _ <br /> ---------r, ,,... .----------r, r wn C-1gy 3 <br /> - d <br /> 72 r, tr_. .!. <br /> i ---- ---- <br /> 5. ,. • l • ' Brown Sand <br /> ., <br /> ' ------------------- J <br /> rr ra n <br /> v <br /> a s. • �-- f, <br /> .. <br /> t tf » • - <br /> HR <br /> I <br /> - <br /> r� <br /> if additional space is required,continue on DWR Form No. 246---Supplement, and attach to respcttive report copies. <br /> (6) Casing left in well: <br /> l LE]VGTm - DIAMETER WNGLE.DOUBLE_WELDIID, L96,PER FOOT OR 13EATING BELOW <br /> Fr. ENCHRb QTHIZA GAGE OF CASING GROUND SURFACE,FY, <br /> ------- ----------•--- <br /> ------- ----------------1 <br /> __- -------- <br /> - <br /> -. ..---- ------------ ---------- :------_ ., <br /> J <br /> `........ ------------ —------- <br /> ^----...-----------. ....__.._---- ---- ------------------`�-'- ----------- --__�__ ----- _ { <br /> .�-.....-----....� --T'-------------- -,._------ .- ------ , <br /> Type and size of shoe or well ring_____.._-_Welded joinrs--❑ Yes ❑ No <br /> D.W.R.Foam No.246 REGIONAL WATER POLLUTION CONTROL BOARD COPY 3!1)1]-W 4aM Qw.CPO <br /> s <br /> i <br /> jl. <br />