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u, :ORIGINAL STATE OF CALIFORNIA 39_051 SHFET I 1� <br /> ,File Origgnbi Duplicate and Triplitale with the DEPARTMENT OF PUBLIC WO:' <br /> �DI�SIDN.`.D��W4TEQ itHODR[ES t �—. � <br /> - <br /> t1ACRAMEyO I>oX r 6,CALIFORNIA -TDIVISION OF WATER RESOURCES <br /> $ <br /> Do Not fill In <br /> WATER WELL DRILLERS REPORT State Weil <br /> Other Well No -------------------------------- <br /> (Sections 7075,7077,7478,Water Code) S�l Region.---------------------- <br /> (i 3 Driller: (2) Proposed use or uses (check): (3) Equipment used <br /> -------- Domestic ® Municipal [] (check). <br /> ........................ Irrigation ❑ Industrial ❑ Rotary <br /> ---------------------------------- Domestic and Test well ❑ Cable L1License No. $' Q------._. --Classification_C-5.7_------------------ Irrigation ❑ Dug well ❑ <br /> Other--------------------------------------------- Other-------------------- <br /> Owner: <br /> Name_._____ xancifi_L8teACE.--------------------------------.---------- (4) Type of work (check) <br /> Address__.5Q.3-N[rth_-Ds4-��Z-------------------------------------------- New well (� Reconditioning of well ❑ <br /> _ �taak i ---Cali£ori.�i&------------------------nn s ___-__-_ - Deepening existing well © - <br /> (5) Well log: <br /> Total depth of well________150- -----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 /> -------- -----------ft. to-----3--------------ft. <br /> Top S�il <br /> 27 ,. Brown QI ay._ <br /> -------2-7--------- ----- <br /> 3-0 <br /> ----------- <br /> p „ <br /> ----------- <br /> Brown Clay <br /> - „ „ „ <br /> — --7.-------------- <br /> BrOAM <br /> --------72-------- ., "_145--------------" <br /> Bnm Clay--L- <br /> -------145-------., „-159-----------" <br /> ,. „ <br /> „ <br /> ----- <br /> -------------- ----------------- , <br /> USE oy" <br /> --------------------,. t <br /> ------„ <br /> -- 11 -----„ <br /> 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 /> LENGTH DIAMETER SINGLE,DOUBLE.WELDED. LOS,PER FOOT OR SEATING BELOW <br /> FT. INCHES OTHER GAGE OF CASING GROt1MD SURF-ACE,FT- <br /> it i <br /> •-__ --------------------------- '----_.--- ------------- <br /> '^ -� <br /> �777- <br /> Type and sizf of shoe or well ring_. -Melded joints--Q" <br /> .FORS NO. 24,5 ' REGIONAL WATER POLLUI'IOTI CONTROf BOARD COPY <br /> 23971 3-SO�4M aVlN SAO <br />