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a y 1_MCI 10-N 1)I�l`� �`H aE71 z <br /> OFUGINAI, STATE? OF CALIFORNIA <br /> File Onglaal.Duplicate and T44Aafkollfi the DtPARTMENT OF PUSLI t <br /> DIVISaN Of Ili& 2ESIURCEt I <br /> P O 60X 1079 DIVISION OF �� A 6,9_437- <br /> . SACRAMENTO n CALIFORNIA a _ <br /> Do Not Fill In <br /> 40 WATER WELL DRILLERS REPORT State well No <br /> 011ier Well No(Sections 7 07 61 7 077,707$,Water Cade) t �vSS fY <br /> (� Region <br /> Ln _ <br /> (1) Driller. (2) proposed use or uses (Check). (3) Equipment used <br /> N2me_,_......_.8TQCXT0AI ATME...$t_1A0.T0R-'WOUS_ Domestic X] Mumtipal ❑ (check): <br /> Address--__60_S._Cal 3. nia___ - _ -- ---- -- Irrigation (3 Industrial ❑ Rotary w <br /> S Domestic and 'T'est well n Cable [] <br /> License Na Irrigation 0 Dug well 0 <br /> Other— Other_ <br /> Owner: <br /> N"arne___-.. Neill otb.White— (4) Type of work (cbech). <br /> New well [N Reconditioning of well [] <br /> Deepening existing well ❑ <br /> (5) Well log. -- — � <br /> Total depth of well--IM_.--f t. Give details of formations penetrated,such as silt,peat,muck,s-ind, gravel, clay,shale, sand- <br /> stone,hardpan,rock Include size of gravel (diatreter) and sand (fine, medium, coarse), color <br /> Depth From Ground Surface of material,structure (loose,packed,cemented,soft, hard,brittle) <br /> aft, to_____5.ft Soli. <br /> 38 Huxdparin <br /> .1 Satd <br /> Sandy CI&Y <br /> Sand <br /> ._�? �,• '• _7�x__" _and Gravel & Rods <br /> -Gravel G3 <br /> X07 IL�Q ?� CJgZ-Gray <br /> Sand Gray <br /> Cl Gr <br /> 1:68 ,f Sand--Pea Gravel <br /> Clay <br /> .._._.-�- - f, ».rte__..___--.�•�2, <br /> If additional space is regWred,continue on DWR Form No 246--Supplement, and attach to respectivereport copses <br /> (6) Casing left-in well: <br /> LENGTH DIAMMR SINGLE,OOUR4E WeLOEA. LBS PER FOOT OR y SEATING OELOW <br /> FT INCHES OTHER GAW6 OF CASING GROUND SURFACE FT <br /> Type and size of shoe or well ring --Welded joints,-0 yes ❑ No <br /> P FIRM bio 246 REGIONAL WATER. POLLUTION CONTROL HOARD COPY A8�]f�60,Ou�UIH SP <br />