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OT CRECK <br /> Fite Qrlginal Duplicate and Triplicate with the <br /> VATE LL DRILLERS REPORT Do Not FiU Is <br /> REGIONAL WATER POLLUTION sfe 1474,7077,7071 Wrrsr Cd.) No <br /> CONTROL BOARD No 5 State Well l+I � _O <br /> (fnnrr epproprre4 rrsm6rr) s�\�D A OF CALIFORNIA ,(� �. — <br /> Ocher Wea Na_;_ <br /> �z) OWNER. b � <br /> Name rni W �p ` (11) WELL LOG: <br /> Address 74 We Santa Clara Str@at � � Total awl 450 it of cempletad we11 450 <br /> q /�,� Fersuenal�16 <br /> 7 roler rbrrerte► <br /> Sazl lose., Calif. tine eJ see/r.cd,lad re.erten <br /> z f: TO Soil <br /> (2) LOCATION OF WELL: $ Earl an <br /> T ~�' l C1 <br /> Coggnry yj 11 V ay <br /> d Uin Owntr a°amber sf re <br /> �-- 6 Sand <br /> R ° or 5r"t No s s Po ar St a San J a� a 5t 7 a" Browrn <br /> Stockton s' Blue ag <br /> 85 101Saud <br /> 116 s Hl— S �y re <br /> 116 1c S d <br /> (3) TYPE OF WORK (check); `� C1 <br /> 'G S <br /> New well Ek Deepening © Recondruorceng ❑ Abandon C3d <br /> r <br /> If abandonment,del material and procedure see item II IIISandy Glgy <br /> (4) PROPOSED USE (check ` Sand <br /> (5) EQUIPMENT I ril Sand Cla <br /> Domestic ❑ Industrial [i Municipal ] Rotary [ lAn I ne7 Coarse Sand <br /> Irngatzon ❑ Test Well ❑ Other ❑ Cable ❑ S ridr C-1 <br /> Dug Well ❑ d Sand <br /> —Y 01M <br /> (6) CASING INSTALLED If gravel packed nnarse Sand— <br /> SINGLE <br /> DOUBLE I--' ease -I San CZ <br /> From 0 it co or Dsame[er from to 7 � O C D <br /> 266 fe 30F�stm 1/�r ,Wall of Sore ft fx Sandt C1 v D <br /> nrT- <br /> 0 450 16 174 3611 0aW <br /> 0 350 12 1 4 30F1 2;8 450 Sam32A 34A SandC <br /> ' <br /> S - Clay <br /> _ <br /> Tyx Ear-d Sandy, Clay <br /> and size of shoe or well ring sux of.....I �' Sand Streaks <br /> i <br /> nercrabe,wit K rd Streaks <br /> (7) PERFORATIONS. s <br /> Type of perforator wed F t0 ed <br /> SLU of perforaaone g sm lenxeh b7 z <br /> m <br /> From ft m fr Perfper row Ross <br /> Per it <br /> (99sing furnished by custom6r. We do not <br /> h ve this information <br /> (8) CONSTRUCTION: <br /> Tat s surface sanstary seal pronded7 <br /> X) Ya [] No To what depth 268 ft <br /> Wen nay strata gelled agwnrt poi lar sons Ye[ 0 No If yea,nose deptis of strap 350 <br /> From ft to 350 it <br /> Method of Sealing _ 22 <br /> Work itarced y a9 Completed J111 23 1'54 <br /> (9) WATER LEVELS. _ CELL DRILLERS STATENIENT <br /> Drpeh rc .hscts water was fine fennel jl()t available This Wil l was drilled under my lursrdretson ,end this reborf is rue to the best f <br /> f0 my kr[orclydgr and brlref u <br /> Sw.odsnt lord before perfwaune to <br /> dsn,t[erel sf[er perforacmR it NAME WES '+� 1 WELL DRI i'e'' IG CO. LTDe <br /> ,�j'�rw ricin {qc{ <br /> _ Addre;s 522 r1• t 821�i�.c°iila,r$ St. I>ped or 1rs.1rd3 <br /> (10) WELL TESTS: Western NFaj - San Josey Calif. <br /> Valea pump tart maeles Q Yes 0 No If yea,by-belDrilling Co e y Ltd. i <br /> Ysdd $� ,ra!/mtu Duh P a [t draw down aftsr lire E$1CN�p] � <br /> Tearp ratan°f water 7elf D din <br /> Wan a chem,pl aealyw sande) ❑ Yes No ��r"yc7AA— <br /> I�eett c 7909 Dated �� 30, 19 <br /> 7n elrt[nc IaR made of troll? Q[Yes ❑ No 54 <br /> yleaa 3 14 SON Qa[N <br />