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RI4G1NA� - WATEK WkLL VKILLLKJ "rUJ&t O <br /> (i le <br /> Original,Dupilcaiff and 7flpllcale wtih the i;Sectsom 7076,7077,707!,Water Coda)� t>1+A <br /> N. 62118 <br /> GION'AL WATER POLLryUTION STATE OF CALIFORNIA �] Sure We11 No_ <br /> CONTROL BOARD r C7t Other Well No — <br /> glsrri appropric:r number) <br /> OWNER, (11) WELLLOG: <br /> e California Water Se a Tot.]depth 563 ft Depth of complcced well 548 ft <br /> 'Address P. 0. BOX 1150 Formation Drrrrshr by color ebsracrer,star of toarnsaf,and rrratraurr <br /> C) it to 4 * ft Tor Soil <br /> ,pan j ose Cr;l f ri 0 °i ILI Cla <br /> (2) LOCATION OF WELL. O �2 Sand 'slater <br /> s owner t number tf aty- f_ 60 rG Sand & Grave3_ <br /> 'county San Jan uLn Station 0 v <br /> Tdrr. Corner Bonn a Avenue ar.d b0 S � Clay <br /> A F D os Stroct ha . 85 — <br /> Ellis Street Stockton Cali-f. 5 Fio-nene 5 Sandd 8 y Yellow Sand Clay <br /> ' <br /> $ 105 ,,0 Sand <br /> 105 S 5 Yellow SanGla <br /> 118 131 1,1 Fine Sc ar:d <br /> '(3) TYPE OF WORK (check) 6 5 Yellow Sandy-- Cin Hard Streaks <br /> New well M Deepening © Recondloontng © Abandon Q 163 178l Fine Sand <br /> 1 f abalsdonrrursf,describe matersal and procedure in Item 11 Blue Sandy Clay <br /> Vomesuc <br /> 4) PROPOSED USE (check) (5) EQUIPMENT: �� Coarse Sand Hard <br /> E] Industrial ❑ Munlclpal ® Rotary 3n Blue Sandy C1a <br /> ��� '157 1V Coarse. Sand <br /> Cable ---- — <br /> Irrlgation ❑ Test Well ❑ Other ❑ pug Well ❑ 7 B1 { dvClav <br /> iu Gravel Harm Streaks <br /> (6) CASING INSTALLED. If gravel packed 295 299 Grave? <br /> SINGLEr® DOUBLET' L Gage D,.meter from to 2 Q 31 314 3 20 a Blue Clay (Hard) <br /> From Oft to 72 ft 0Di.m 16 Wall of Bore ft ft ---- <br /> -. ,� Sand <br /> ., <br /> 0 8 16 361, 0 72 _ 320 335 s Blue Sandy Clay <br /> 0" 7 Lam$ 0 ti� Gravel _ <br /> ' 50 370 Blue Sandy Clay Hardt <br /> -- <br /> 3 Lt} Sand <br /> _ 385 /.2 4, " Blue Clay (Gravel Streaks <br /> T r,c and uze of shoe or-ell ring None Sae of gravel 16 —�11,32 1.0 Sand <br /> scribe joinBlue <br /> - — <br /> ' Det Collared ..2 32 —^L .r2' B ue Clay <br /> 51 - - <br /> (7) PERFORATIONS: �� ,,66 ' rue Landy Clay <br /> _�I hr Lill fes' Sand <br /> ' Type of perforator rued Factor Punched —1.r14 490 si BI UA (r'1.9 Y - <br /> size ofperfonnans Louver tn length by >n r 90 Soo ? Har[ Blue Sandy Clay. -- - <br /> From17Qft to 353 ft 6 pe[f per sox Roxs per ft __.. 4nn Q Gravel .(Blue Clay Streaks) <br /> 35 52 —519 - 5395 R l iP Sandy C.Jay & Gravel <br /> — 4.2. 563r R3 ne Sandy Clay (Hard streaks; <br /> ' (8) CONSTRUCTION. l r <br /> was a surface sanitary.cal provided? ja Yes ❑ 'Vo To what depth ?2 ft <br /> ' Wire any strata sealed against pwlunoo? ❑ Yea X No If yes note depth of errata <br /> From it to it s7 <br /> Method of Sealing Work starred rj an. 1964 Completed Marcn 2 1" 4 <br /> ' (9) WATER LEVELS WELL DRILLER'S STATEMENT' <br /> Tbu well was drilled under trr3 ?urrsdietron and tbrs report is true to the beat o; <br /> Tlepth at which water au first found Not Available ft my knowledge and belief <br /> ' $ranJ'iaz level before perforating " ft NAME WESTIP,� WELL DRILLING CO. ,LTD. <br /> A II >� ft {Vaso. firm/or corptratimtl 1I-YArd or <br /> I vete 1 af.er pxrfosatinx `Addm, F. ©• Box 4! <br /> o) WELL TESTS: San os Calif. 95103 <br /> Was a putt,rest made? rX Yes © No If yet by wham? Driller - <br /> Yield gal/rate with 20 ft draw down after 571 his — -- — Wrl)Drifter <br /> �� z5 April 23 _ Is_�'4 <br /> 'rsmpersture of water Was a chemical josh,,,made? ❑ Yea a No L,ren,e'flo _ ��2_ Dated _ , <br /> Was a]retric log mads of sell? 9Yet ❑ No <br /> 01025 6 51 Sam Qu1N A 21-0 DWR 188 (REV 3 54) <br />