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'ORIGiNA9L STATE OF CALIFORNIA _ SHEET 1 <br /> Hletipinal,,Duplicate and Triplicate with the DEPARTMENT OF PUBLIC WORKS <br /> 0,61ON Of WETE1t RESOURCES � <br /> __P.o..so�t 1079DIVISION OF WATER RESOURCES <br /> !ACRAMENTO S.CALIFORNIA <br /> Do Not l In <br /> State Well <br /> WATER WELL DRILLERS REPORT <br /> Other Well No.� <br /> (Sections 7076,7077,7078,Water Code) �~------------------ <br /> /' Region----------`- ------------------------------ <br /> (1) Driller: (2) Proposed use or uses (check): (3) Equipment used <br /> Name______-Clark-W-eil___DS'_iiiing---C_fl-------------------- Domestic ❑ Municipal ❑ (check): <br /> Address---2021-_FL._-ChaY_t_er__-T°jseLy-______________________________ Irrigation ❑ Industrial ❑ Rotary ❑ <br /> -_S_tLackton---6,_Califer_________________________________ Domestic and Test well ❑ Cable 29 <br /> License No.__766-02-------------Classification_3_C----5.7------------- Irrigation ❑ Dug well ❑ <br /> Other--- iZ___Condit],Onlllg Other___________________ <br /> Owner: <br /> Name---StQc t-on--_State___Ho--,pi .al.________----------- (4) Type of work (check): <br /> Address-_NQZ_f'h--C;J.7f+--St-�-------------------------------- New well ® Reconditioning of well [:1 <br /> _-S-tacktonY__Gallf---_-_.-_-._--------------------------- Deepening existing well ❑ <br /> (5) Well log: — <br /> Total depth of well-----200--------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 Ground Surface of material, structure (loose, packed, cemented, soft, hard, brittle). <br /> 0---------------ft. to-----2--------------ft. Loam <br /> 116---------------° A dob e <br /> 6...............„ .......2g-----------" Yellow clay <br /> S and <br /> 8 11 " _6 <br /> ---- ------------ -----6 -----------,° Yellow clay <br /> ----66-------------- -------92------------- Sand <br /> -g - - Gravd. <br /> -9-6------------„ "-----124- Yellow clay <br /> ---124---------a, >,-----13-4-------" Blue clay <br /> —13-4----------- „----,7 4-4--------11Sand <br /> ---144---------as "-----1-46--------" Hard pan <br /> --146 -'} "----15---------" Sand & gravel <br /> L <br /> -�- ->, „----2QQ--------" Blue clay <br /> » >a a, <br /> as » ,r <br /> n as r> <br /> a, a a, <br /> as as as <br /> a, » as <br /> » „ <br /> as , » - - <br /> H a, <br /> ______________________ ---------------------- <br /> ---------------------- <br /> " <br /> If additional space is requiied,continue on DWR Form No. 246—Supplement, and attach to respective report copies. <br /> (6) Casing left in well: <br /> LENGTH DIAMETER SINGLE.DOUBLE.WELDED. LBS.PER FOOT OR SEATING BELOW <br /> FT. INCHES OTHER GAGE OF CASING GROUND SURFACE.FT. <br /> 200-------- ---------2---------- --------------Aouble # 12 200 - --- <br /> ------------------------------- <br /> ------------------------------ ---- ---- ------ ------- <br /> ---------------- ------ -- / -------------------------- -------------- ---- - ---- --- _ <br /> Type and sizt of shoe or well ring�l ft_Welded joints Yes ❑ Io <br /> D.W.R.FORM No. 246 REGIONAL WATER POLLUTION;.CONTROL BOARD COPY 1%971 3-1 <br /> 0 4OM 2u, <br /> ! <br />