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39-314
<br /> r STATE OF CALIFORNIA •
<br /> ,..01CSGLIiAL',' ~ SHEET
<br /> FIN Original,00il"Is sad Triplicate with the DEPARTMENT OF PUBLIC WORKS
<br /> 0OF 07VI 11001.1111S11001.1111SF.o.. We lora DIVISION OF WATER RESOURCES ,•, �, ; ;•-
<br /> F.
<br /> ,)SACA AM LNTO S.CALIFOp NIN
<br /> { Do Not Fjll in
<br /> WATER WELL DRILLERS REPORT Sure wen :4-1
<br /> Other'Well -
<br /> ell No `�.......---
<br /> (S.ctious 7576,7077,7072,Wa[er Code) / g,5 Region__..
<br /> ()) Driller: (2) proposed use or uses (cbeck)1 (3) Equipment used
<br /> Domestic ❑ Municipal ❑ (check)
<br /> Address.-_522--I--5811ta M aS'8.-StreMLt---------------------- Irrigation ® Industrial ❑ Rotary [9�
<br /> $gIl,,.7p3e�,—Ga.1iS�_.__.._____,•..__—_—_____.___ Domestic and Test well ❑ Cable ❑
<br /> License ND. Classifiearion..._,_ Irrigation ❑ Dug well
<br /> —�-�9-'DSII.,-- G-57--•---•-...
<br /> Dcher
<br /> ........... Other—_—__
<br /> Other------'-_
<br /> owner: State of California
<br /> Name--- - -„-,:......... (4) Type of work (check):
<br /> Address......,SLaektOII-----,._,__--. - _..-_____--._..._-------__- New well a Reconditioning of well ❑
<br /> f�__—_---,--------------------------- Deepening existing well ❑
<br /> (s) Well log:
<br /> Total depth of Give details of formations peaerrated, such as silt, peat, muck,sand, gravel, clay,shale, sand-
<br /> stonq hardpan,rock. Include size of gravel (diameter) and sand (finc,medium, coarse),color
<br /> Depth From Ground Surface of material,structure (loose,packed,cemented,soft, hard,brittle).
<br /> 0 --ft. to-------4Q------ft. c sandy Clay
<br /> -4�---- ___....” ':e Light Sand
<br /> _�__...__ ,__-34„_._—” iv Lilzht Clay & Sand
<br /> ..... Light Sand
<br /> 121193 --.._ _ '+ Li eht Blue C1aY
<br /> 183 220 •• 10 Hard Sand
<br /> 220 242 to Sand & Streaks Clay --
<br /> "--- — 277 1 o Sand & Streaks Hard Clay
<br /> 277 �2 -— .• Sand & Streaks Soft Clay -
<br /> -- - -...
<br /> 299 Cemented Sand
<br /> g08 325 .. a' Light sand -
<br /> -- --...........
<br /> ------------- ---------
<br /> If additional space is required,continue on DTR Form No. 246-.Supplement, and attach to respective report copies.
<br /> (6) Casing lCfeinwell!
<br /> LENGTH OIAMETER SINGLE.COUDLE.WELDED, LBH.►LR FOOT OR SEATING %CLOW.
<br /> FT, INCHES OTHER GAGE of CASING GROUND SURFaCS.FT.
<br /> ......... ..._.....— ............._._-,... _.....__-,_.....................__. .......
<br /> ................ _.... ......_......._....__.-_
<br /> Krises................ _ _-_i1� _..�?5_.......----
<br /> Type and size of shoe or well ring..........Welded jointsy&j Yes ❑ No
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