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ORIGINAL WATER WELL DRILLERS R.EPURT Do Not Fill In <br />' <br /> File Original,Duplicate and Triplicate with the (Seetions 1 <br /> 076,7017,7075 Water Cade) No 32646 <br /> REGIONAL WATER POLLUTION State Well No— <br /> CONTROL BOARD No_ S STATE OF CALIFORNIA <br /> (Iasrrt appropriate nxtnb,) W Nl Other Well No.---- <br /> 0) <br /> o.____(1) OWNER: {11) WELL LOG: <br /> Name The Nestle Colne any Total depth _ pleted well 1,50 ft <br /> - 15Q ft Depth of tom <br /> Address 2 'N i l l i am Street_ Formation Drtntbe by color,Character,rest of material end rtrrtten <br /> 'I <br /> White Plains . New York �- 6 ... 7 . . Clay <br /> n ft to 6 ft Top So�i <br /> -- <br /> (2) LOCATION OF WELL: Ripon 7_- 10 Snnd <br />' r San Jo - 2 �:i rd Pan <br /> Coilnt Owners number,if asy— <br /> R F D or Street No Alb o 1 t . 1 00 f t. N. & 100 f t. — 12 20 C <br /> ,,,..._ layF- r)f Be A_ Corner Qf aection 20 - <br /> - 20 28 Sand <br />' T. 2 S. R. 8 E. - 28_ 34 _ Clay <br /> 38 Sand <br /> — 1�6 48 _ Clay <br /> a 58 SFind <br />' (3) TYPE OF WORK (check): 58 60 Clay <br /> New Well eg Deeperimg ❑ Reconditsonmi; ❑ Abandon ❑ 60 64 Gravel <br /> 11 abandonment,describe material and procedure in Item If 64 65 Clay <br /> ' (4) PROPOSED USE (check) (S) EQUIPMENT. 65 80 Sand <br /> Domestic ❑ Industrial J� Municipal ❑ Rotary ❑ E Q 8 3 C 1 ay <br /> Irrigation ❑ Test Well Cl Other El Cable ® —__ 83-- - 91 Sand <br /> ' Dug Well ❑ — 91 93 Clay -- <br /> (6) CASING INSTALLED: If gravel packed 9111) 1 (A S and <br /> —101 103 Set Sand <br /> SINGLE E DOUBLE M Gage ' <br /> ' or Diamerer from to 10.15 106 Clay <br /> From ft to ft Dram Wall of Bore it it 10{j 11 Sand <br /> 14 12 ill 150 Clav - <br /> 1.50 Sala d <br /> Type tad size of shoe or well ring d' x 6 Stu of=rant <br /> ' neaenbe iosnt lNe l de d <br /> (7) PERFORATIONS: <br /> ' Type of perforato-used N one - <br /> size of Perforations in,length by an <br /> From ft I. perf per row Row.per ft <br /> 1 <br /> ' (8) CONSTRUCTION: <br /> Was a surface sanitary seal provided? ❑ Yes [] No To what depth it <br /> ' Were may strap sealed asarnst poilntioni ❑ Yet ❑ No If Van note depth of strata <br /> From ft to ft <br /> Method of Sealing Werk starred 627/55 Is Complered 7/9 `55 19 <br /> (9) WATER LEVELS: WELL DRILLER'S STATEMENT <br /> This Evil was drilled under my jurisdiction and this report is trite to the best of <br /> Depth at which water was first found -' 430 ft my knowledge and belief Standing level before perforsemg --- " X$.�?� - ft NAME Osterberg & Carroll <br /> handing level after perforating z ft iFerwn firm or corperavony I Typed ar printed) <br /> Address <br /> (10) WELL TESTS: Rt. 7`JBox 1520 Modesto, Cal-1 <br /> Was i pwnp test made?)] Yes ❑ No If yes b7 whom? Us l <br /> Yield 2000 _ gel/min with_ 6Q- it draw dawn after 22 bre [SIeNYn] "J�* - ------------ ^-- -- - <br /> Well Dei <br /> Temperature of water Was a chemteal analysis madf? 0 Yp ❑ No L,c.-Se NO_ -4B724,5- _ D7ted_ <br /> ' Was elecrnc]or.made of well? ❑ Yes ❑ No 97609 3 54 eons QUIN 0 SPO IDWR FORM No 245 1 REV 3 547 <br /> 2 y1}I <br />