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0MG31NAL' STATE OP CALArORN.IA trEEr 1
<br /> Me Origlse,ilrtlicsle est irlplkste whh the DEPARTMENT OF PUBLIC WORKS
<br /> VD. .BOX 07SWAY DIVISION Of WATER RESOURCES � � � � '"-
<br /> O BOX t074 .. f '
<br /> RAGRAMEfdTD !1.CALIFORNIA ((
<br /> L`5
<br /> µ Do Notfill Is •
<br /> WATER WELL DRILLERS REPORT state Well
<br /> Other weu No.—__.
<br /> (Secde s 7074 7077,7672,Water Cods) � Region -�--`
<br /> L (1) Driller. (2) Proposed use or uses (cbeck.): (3) Egsriptne t used
<br /> Name___1Aq_*t.Q.&_A Domestic m Municipal ❑ (cbeck)
<br /> Address 64� S. G ;)f -,-------------_.__. ..__..=.._------ - Irrigation ❑ Industrial ❑ Rotary 'r
<br /> S. tasjd= s C$, T-----_------:_------•-----._ Domestic and Test well ❑. Cable .0
<br /> License No.._6_?8S_------Classification_ _---„ Irrigation ❑ Dug well ❑
<br /> Other --___-_------ Other
<br /> Owner:
<br /> Name.. )_r De Po .^, s.t.�_ __._ ---_ (4�) Type of work. (cbeck)
<br /> Address , Un'Yt .,,. _- New well 13 Reconditia mg of well ❑
<br /> _ Deepening existing well ❑
<br /> 5 wen to :
<br /> Total depth of well._M__--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 Grourid Surface of material,structure (loose,packed,cemented, soft,hard,brittle).
<br /> D
<br /> t. to. _-0__._ f Top Sail -- - -- ----
<br /> �- HCl Brown C1P.v
<br /> At 34 I Brown Sand/
<br /> „ 47 It Bro= Sand Stove
<br /> L --W7---AD „ 50 „ Brown Stand
<br /> ia
<br /> 3 A, „ a _w_�» m
<br /> � Brmm Sand.. ., ��__—__�,. Brown 01
<br /> �}��y � Brom Sand
<br /> L
<br /> 9`„ !, +rte/�p Blue CiClay
<br /> -
<br /> �_-., AD 107 pp�JJ ,{ Gray /Sled
<br /> SX
<br /> „ IZI ,23 Gray Sand —
<br /> �W ,! 161 .. _ Blee Clay
<br /> L _ A, —Y7-0 , Gray. Sand Crave]:. ;b
<br /> .{ .,. ., .
<br /> ., ,t H
<br /> Do AD to
<br /> „— „
<br /> AD
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<br /> If additional space is required,continue on DWR Form No. 24"upplement, and attach to respective report copies.
<br /> (6) Csisisag left in well:
<br /> LENGTH DIAMETER SINGLE,DOUBLE.WELDED. Leh.PER FOOT OR SENTING BELOW
<br /> FT. INCH9SOTFlEJ! GAGR Ole ASING GROUND SURFACE.FT.
<br /> 90
<br /> and Oar of shoe or well Hng _'Welded Joints—C Yes -❑ No, ,
<br /> .4
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