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rue Unglna,,ilupiitale aria Irlpucaie will,Ine DEPARTMENT OF PUBLIC WORKS ; <br /> DIVISION OF WATER RESOURCES <br /> P 0 BO.: DIVISION OF WATER RESOURCES <br /> SACRAMENTO S CALIFORNIA 1N <br /> u*"i Do Ndt 'll In <br /> WATER WELL DRILLERS REPORT State Well No C_�✓ <br /> f Other Well No <br /> (Sectsons 7076,7077,7078,Water Code) r/T Region-----_-----------— <br /> (1) Driller- (2) Proposed use or uses (check): (3) Equipment used <br /> Domestic ❑ MunicipaI ❑ (check) <br /> Address___2021 &. Charter 11fty_____ ___ __ «_ Irrigation ❑ Industrial ❑ Rotary ❑ <br /> *___________ _________ _ Domestic and Test well ❑ Cable <br /> License No 2�L6_Q2______ —__Classlficat>on__s 05.7---_----- Irngation ❑ Dug well ❑ <br /> 0ther_A?.r3__ondzt aning Other_ <br /> ' Owner <br /> fFox West Coast_ Theatres _ <br /> Name----Fox _ __ _ (4) Type of work (check) <br /> Addressw__1�OQ_W _TATaS)13.11�tOY1___ __ _ New well] Reconditioning of well ❑ <br /> ---Los AngglES.;--_�a ,ifs___-- ------___- _ Deepening existing well ❑ <br /> ' (5) Well log- <br /> Total depth of well--- _____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 matenal,structure (loose,packed, cemented,soft,hard,brittle) <br /> d ft to_—$ _-__ft Basement <br /> Yellow clay <br /> Y - <br /> 4$- - - -„ „- - - and <br /> 88 ~__��• 62 -_ •� Yellow clay _ <br /> 62--- 6$ Sand & gavel <br /> Blue clay . _ <br /> Sand & gavel <br /> 134_ _» » 15$ •• Blue clay <br /> 168 --" -Sand & .gavel <br /> lb$ _«•• 22� Blue clay <br /> 223- „- U$-------” Bigavel <br /> ' 238---,- „ ,. -- Blue clap <br /> „ „ <br /> „ » <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 LBS PER FOOT OR SEATING BELOW <br /> FT INCHES OTHER GAGE OF CASING GROUND SURFACE FT <br /> doubla <br /> ---------- -------- —-- -- -----------— «——« ---- -- - --- -- - « — -- - ----- <br /> Type and slzp of shoe or well nag_______—__Welded lomts-- Yes No <br /> ' D W R Fonts No 248 REGIONAL WATER POLLUTION CONTROL BOARD COPY 1„71 a co saM AU'N sro <br /> 9 <br />