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SAL'' DCATiDi NOT CHS } <br /> STATE OF CALIFORNIA SHEET 1 <br /> sad Trlp�iciis wNh iIN DEPARTMEhIT OF PlImLIC *0"" - <br /> : la Ream - <br /> L SA'RlLAMENTD&CALIFORNIA <br /> DIVISION OF WATER RESOURCES <br /> wM. Do Not MIS <br /> WATER. 'WELL DRILLERS REPORT if <br /> �4- ther State well <br /> Lowen No.»_»____. <br /> (Secwom sods,7077,re78,Rater Codi.) A/t r� N <br /> ✓+' d. Region-.__ <br /> (1) Driller: (2) Prnpwod use ar user (check): (3) Equipment used <br /> IS N ftstarn 103.DrI314m- --------_--- Domestic ® Municipal ❑ (check) <br /> Addres�__�?2� 8II�-.$ .__ _-.- Irrigation ❑ Indnscrial ® Rotary <br /> ---C+IL=----------.......... ._ _ .-------. Domestic and Teat well ❑ Cable ❑ <br /> License No.. R:% �...Classification_ �- ----_-_--- Irrigation ❑ Dug well ❑ <br /> Other <br /> Owner: <br /> (4) Type of work (check) <br /> Address P. Cl.Jk=»1M_•&A�e , l;elif.__ New well <br /> [X Reconditioning of even ❑ <br /> -nn-At atawctms Deepening existing well 0 <br /> L (s) Wv a log: <br /> Total depth of wellT,=-.--.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 /> LDepth From Ground Surface of.tmaterial,structure (loose,packed,cemented,soft,bard,brittle). <br /> ------ft. Tctia Set 1 - <br /> fJ fr <br /> ---- rr -- , •. .•... <br /> - -- -�+-------- <br /> -�.y------,ranft Rl� Matz <br /> ��—_7r J,—...._.std-.--." - <br /> r; <br /> L <br /> 95 --, yrM —a, saaft�71 U6�� _M _ —1 <br /> , 7, rr Rr �• <br /> -- Aead <br /> 120•»_—„ J » -Sjkn&vD3_118 ■.i A <br /> In SIMd <br /> 180 _as ,f ... ._.-71 Inue ..».._..� <br /> h= ftad <br /> —aJ s. <br /> M— <br /> u <br /> S <br /> nu am <br /> JJ JJrf <br /> �' ff ,s Is <br /> JJ ,s ry <br /> If additional space is required,continue on VWR Forth No. 246—Suppkment, and attach to respective report copies. <br /> (6),`c*ns left in <br /> well: <br /> L " i[rIGTM DIAMETER SINGLE.DOUBLE.WELDED. Lei.!tR #OOT OR MATING BELOW <br /> FT. INCHES OTHER GAGE OF CASING GROUND SURFACE.FT. <br /> -� '�,..�.-.�__.� �_._.. .�., eft~-.. � ---•-.- ---------•�i,32--_._.._� <br /> s 'I 3pe and size of shoe ter well ring-- d ioirata--� Y [] Na <br /> IN <br /> FoRM'NO.246 REGIONAL WATER POLLU't`ION CONTROL BOARD copy __.... .. <br />