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,CCATION- <br /> 4 _C NOT CHS: <br /> ` e• _F Do Not Ail ' <br /> WATEI -WELL' DRILLEkS"REPORT �7 �y <br /> ripllcate with the 4�'(S&Gt,oae;7076,ro77,7071,bleier code) lr o � ( 0 3 3 <br /> POLLUTION <br /> D No h • _ <br /> STATE OF CALIFORNIA ^ 11 No? <br /> M <br /> I1� `L � <br /> �s>R6.r1 Other Well Na <br /> NER {11) WELL LOG <br /> F y b,r a❑-;a r__.. P p 5 r Products Inc. Total depeh 519 fr Depth of completed -ell it <br /> CSS P. C. ]-_x 7 1-orm.non Dern,be by rotor eharneter u_r o/mern,al and slreetpre II <br /> Stock-i;on , Calif. 477_ fe to 510 it Cl ay -gin 51-9_ _ - 51-9 Samd _ <br /> (2) LOCATION OF WELL <br /> eoaety S i n Joaquin 5 <br /> ,Z F D orS,rctX. StOcktcn 3 Church Stn _ <br /> - - `+tucktCM , <br /> 1 <br />' (3) TYPE OF WORK (check.) <br /> New well ❑ Deepening ® Reeondeuontng ❑ kbandon ❑ <br /> if abandonment,describe material and procedure in Item 11 <br />' (4) PROPOSED USE (check) (5) EQUIPMENT <br /> Domestic ❑ Industrial [2 Municipal ❑ Rotary ❑ <br /> 91 <br /> Irngation ❑ Test Well E] Other 11 Dug <br /> Dug Well ❑ <br /> (6) CASING INSTALLED. If gravel packed <br /> SINGLE❑ DOUBLE Gabe <br /> Diameter from to <br /> or <br /> From ft to it Main Will of Eon ft ft <br /> TYpe.rid­.of shoe or we, ring S,ze of g wet <br />' Domnbe pint <br /> (7) PERFORATIONS <br /> Trp-of perforator used f <br />' S,7P of wrfamioas m length by m -• _-- -From fe r fc Perf per row Row,per fe <br /> (8) CONSTRUCTION --•,••-- — �ti <br />' Was a wtfaee tomnes,gal pronded? Ll Yea ❑ No To shat deprlt it <br /> 3 <br /> Were my.traca.galea against polluc&on? ❑ Yea No If yer note depth of strsea <br />' From ft to it --- - - �' <br /> Method of Sealmg Work,tarred 19 Completed � �r 19 <br />' (9) WATER LEVELS: WELL DRILLERS ST'AT'EMENT <br /> This well was drilled under nay jurisdiction and this report a true to the best of <br /> th at which ram sae fr.t fo,.ed 64 fc my knawledgeand belief <br /> :I.vdbefonyerfweuet it NAME Clark "ei <br /> .yi,g leTtl steer perform-x - it (Nr.on dim r.r c.aru,ra e,unl rTypad at At,•if1} _ <br /> .y Adams 2124 t Charter Wayy <br /> (10) WELL TESTS: S t-prk t o n 65,, a l 1.f e <br /> oa.a pump tnt male) M Yeo-❑No are.bs' > C 1 a r k Weil <br /> -- _ - - - - -- — -- <br /> Y,eldr gel/ride with "';"` ft dray down after a 3n [SIGNED <br />' 14 30 51 i❑ 1Pef1 DrlN <br /> - - M <br /> 'r—penturt of water Was a ehem.al enalr..e medei C Yee ❑ No License NO. 76602 ... ,��� Dated F-�g <br /> t'as electric lat made of wd1? r3yes n Nn <br />