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QRIGINAt_ STATE OF CALIFORNIA , SIIL'E71 39- 088 <br /> Fie Orrplad{ Up1W1e iod Irlpiicals with the DEPARTMENT OF PUI9LIC WORK 1 <br /> P sWA00O <br /> 9ACRAMCALIFORNIA - -DIVISION OF WATER RESOURCES <br /> r.NTD K � } pm— <br /> 1 k C <br /> to 1`.t Do Ndtt In <br /> '�A'I`ER WELL DRILLERS REPORT State Well No l.�7. <br />' � Other Well No __— <br /> (seeaenn 7076,Corr,raga,Water Colo) <br /> Region____ <br /> (1) Driller: (2) Proposed use or uses febeck)• (3) Equipment used <br />' Name____01ax'k Aell 4rj2,j7lxtg CO. _ _ Domestic <br /> ❑ Municipal ❑ (check): <br /> Address_210,2-4 E*--q 1a.r—t-eLr,Wax— _ Irrigation ❑ Industrial ❑ Rotary ❑ <br /> -StoQktQrl.6-s---Ces.-. �. v_�. _ .Domestic and Test well n Cable :E] <br /> License No 6102__ _-Classification-361-057____ _ IrrigationDug well ❑ <br /> Other Alx�Qndit-1,a_ning Other <br /> Owner. <br /> Name Fox West Coast Theatxes_ _ (4) ryp�o£wdrk (check)• <br /> Address?-�� _U�� ra�jtlYlgriOn_ _-____-- New well <br /> -Los 1�ingg�es Ca�,if � Reconditioning of well [] <br /> -- —-;— --f_-- — ---� - Deepening existing well J] <br /> (5) Well log: <br /> Total depth of well -?3-Q-w <br /> ___ft Gave details of formations penetrated,such as silt,peat,muck,sand,gravel, clary, 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 _fc to ft Basement <br /> 3q Yellow clay <br />' 48 ^ �• 2 -__,j Yellow clay <br /> �2 _ •�� and & Gravel <br /> --Blue clay <br /> 134 Sand & gravel --- _ <br /> 158 _,. Blue clay <br /> Sand <br /> Blue clay <br /> 2 $ » Big_gravel <br /> Blue clay <br /> I#additional space is required,continue on DWR Form No 246--Supplement, and attach to respective report copies <br />' (6) Castrig left in well: ` <br /> LENGTH DIAMETER SINGLE DOUBLE WELDED LBO PER Fool OR SEATING 86L0W <br /> FT iNCHpS OTHER GAGE OF CASING GROUND SURFACE FT <br /> Type and slzp of shoe or well ring_-_ _ Welded ;oints--[] Yes JN No <br /> D W R FORM No 246 REGIONAL WATER POLLUTION CONTROL OARD COPY �`2»r71, ,o,n..QUIN sro <br /> i � <br />