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t_ L 3CATION NOT CHECI
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<br /> ORIGINAL STATE OF CALIFORNIA
<br /> _- 86060nal,Duplicate and'Triplicate with the .• "- SHEET 1
<br /> _DEPARTMENT OF PUBLIC WORKS
<br /> DIVISION OF WATER RESOURCES
<br /> o:BOX 1079 DIVISION OF WATER RESOURCES 5
<br /> SACRkMENTO 4.CALIFORNIA -
<br /> Do Not Fill In
<br /> WATER WELL DRILLERS REPORT State Well
<br /> other well No_____________ ________
<br /> (Sections 7076,7077,7078,Water Code)
<br /> ri
<br /> Region---------------------�---------------------
<br /> (1) Driller: � Well (2) Proposed use or uses (check): (3) Equipment used
<br /> Clark rt,yl Dril�i�� Co
<br /> Name- v
<br /> - ---- ----------------------------
<br /> >)- ---- -�---�n� Domestic Municipal ❑ (check):
<br /> Address__________ - 'J _--__ Irrigation ❑ Industrial (� Rotary ❑
<br /> 5tnctrt,pn h -(,`al,i r �
<br /> _.-'_..... Domestic and Test well
<br /> �J Cable
<br /> 766O 5
<br /> License No._____.—_____________________Classification-__-_____-_____--__-_-__-_-. Irrigation ❑ Dug well ❑
<br /> Other--_------------------------------------------- Other--------------------
<br /> Owner:
<br /> Name---------StOCkt021___- _Qn_ S_t_9__��--__.Y'X'Sl ______ (4) Type of work (check):
<br /> Address___ _y y._. _-___--__-____-M5-w �- `� QJ IL• New well
<br /> -P Q BIIX--�-�2-� -- [�, Reconditioning of well ❑
<br /> ------S t o e kt on, C 3___7.f:-------------------------------- Deepening existing well ❑
<br /> (5) Well log:
<br /> Total depth of well_-_-_?0-4--------f t. 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 Ground Surface of material,structure (loose,packed, cemented,soft,hard,brittle).
<br /> ^t T
<br /> ft. to--3 5-----------ft. Gravel Fill
<br /> ---------------
<br /> 3 ,5 6 �ri.obe
<br /> ----------
<br /> ' ' -
<br /> ----------------
<br /> r h ?kYellow cl°y
<br /> ,
<br /> --=-==--=-------- -
<br /> 38 Bi, o _ir
<br /> a
<br /> r-------------
<br /> 55 , ,> 74 , Yellow clay
<br /> 7- 96 Blue ,,,
<br /> -- -------- -- -------------
<br /> „ Sand u, .zl a vel
<br /> 1�6 Blue c-.-r
<br /> ---------- ----- ---------
<br /> T- -
<br /> 19 6 l H ca Bi?�e sand ra-r 1
<br /> = — <---------- -_ -
<br /> 1.39
<br /> Byte cl^7r
<br /> --ILL Soft b1,_e clav
<br /> - 7o „ „-1L- - Coo.-rse bl,ze s.!nd.
<br /> 19�-----------„ . Soft ?glue clay
<br /> 20L.' 31ue cl-_y
<br /> --------- ------------
<br /> ,>
<br /> >, „
<br /> i✓ If additional space is required,continue on DWR Form No. 246—Supplement, and attach to respective report copies.
<br /> (6) Casing left in well:
<br /> t✓ LENGTH DIAMETER SINGLE.400" Q'.}V Ej�trED•{ - fir'LHS. PER FOOT OR SEATING BELOW
<br /> -- FT. INCHES OTHER - S V GAGE OF CASING GROUND SURFACE.FT.
<br /> -----'---------------- ------------------------ ----------- ---------------------------------
<br /> -----2-0L--------- ----------12------- ------------------s n� v -M;r; ---------#2=2--------- ----------- -
<br /> r ----------___--____-----------
<br /> ----------------------- -------------'---- -------_"------------------- -
<br /> ------------------------------- ------------------- -------------------------
<br /> Type and sizg of shoe or well ring___...5.__Welded joints—® Yes E] No
<br /> y X
<br /> .. ...o �.:......�.. �.� U Vf'Tn,.T A T XV/&'V o nn,i,r T•rnwr !^n VrDnT Mn s �nov
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