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)RIC-- 'NAL STATE OF CALIFORNIA SWEF,r j � <br /> _1Ie 4rlga121,Duylicdle and Tflpllcale with 1ht DEPARTMENT OF PUBLIC WORKS — <br /> DlVlilO}I OF X Ior.'Al'a RE GURtlri >• <br /> ns <br /> SACRAMENTO DIVISION OF WATER RESOURCES <br /> 9ACRA6,CALIFORNIA ' <br /> Do Not Fit! In <br /> WATER R <br /> lt`. WELL DRILLERS RETORT Other Well No----------- <br /> (Sections 7076,YQ7T,7078,'Waeee Cwrdn) <br /> (i) Drillers {2) 'Proposed use:or tides (C-bock): (3) Equipment used <br /> Name-,---_S#.cktp�-- m8ty�&- -_�q -•yl��:} 6-------- pamestie' ® Municipal (] (check): <br /> 1 r Address...--�4�G•-w.-L'a3 $�ra & ^ Tee#............. Irrigatioia [] Industrial ❑ Rotary <br /> I ..A%tozkt*n x---C#7.3f Axu;L ..._.._.�.............----•--• Domesric and Test well ❑ Cable ❑ <br /> License No. '1!$�Q.----__ Classificatioa_C••}Y' . .....:......-" irrigation ❑ Dug c ell-- <br /> • , Other____ –_ _...---____-_ O h ❑ <br /> Owner: <br /> tName------RranCiz-Ls>'Trance...-----J—-----------------_.»_....... (4) -,Type of work (cbeck): <br /> Address..-5D3- North--oro–Ame--------------- Now welt Reconditioning of well ❑ <br /> -----------. Deepening existing well ❑ <br /> I (5) Well log: <br /> 1 Total depth of well....___154------ft. Give details of formations penetrated, such as At,pear, rnuck,•sand,iravel, clay, shale,saad- <br /> �: scone,hardpaA,rock. Include size of gravel (diameter) and sand (fine,medium,coarse), color <br /> _ Depth FromGroundSurface _ of material,structure (loose,packed,cemenited,soft,hard, brittle). <br /> -`---- ......--ft. ro---3......-._..__ft. ' <br /> 1Brown Clay <br /> ----- p -- <br /> „ .. <br /> - i 72 <br /> Brown Sand <br /> {i _ _r, _ , <br /> -- ..___ ..._ <br /> —----------- <br /> ,. _ <br /> ----------•- <br /> is •-_'-- <br /> k rr rr ar <br /> FOR <br /> rr ,. <br /> 5 rn <br /> mt USE 011 <br /> ----------------- <br /> i •r rr ,. <br /> _____ <br /> tj if additional space isrequired,continue on DWR Form No. 246•---Supplement, 2nd torch to respective report copies. <br /> f (6) Casing left in well- <br /> LENGTH dIAMETER. -1 81NGLE-noUBI.E.wE�06D,' Lino.PeR-FOOT OR BEATING BELOW INCHHS OTH_BR GAGE OF AEING CROUNo SURFACE,FT- <br /> I -- - <br /> 1 -------------- --- -- -------------------------- —--------- <br /> 1, Type and sizg of shoe or well ring_--- ---Welded joints {] Yes © No <br /> f D.W.R.FORM NO,246 REGIONAL WATER POLLUTION CONTROL BOARD COPY <br /> - "b71 2-50 aaMqufw s6o <br /> i <br />