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WELL DESTRUCTION(ABANDONMENT)FORM <br /> DATEQ 1�"''Gr ,TIME METHOD <br /> PROJECT NUMBER R603 , ADDRESS 6425 PACIFIC AVENUE, STOCKTON,CA <br /> WELL ID# MW-1 1.WELL USE GROUNDWATER MONTPORING <br /> WELL`OWNER WICKLAND PROPERTIES, PROPERTY OWNER SIGNATURE THEATERS <br /> WELL ADDRESS 6436 PACIFIC AVE,PLANTER EAST OF PACIFIC AVENUE,EAST OF <br /> 6425 PACIFIC AVENUE,STOCKTON,CA . _—. <br /> OVERSIGHT AGENCY SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES,(PHS_EHD) <br /> DRILLING CONTRACTOR WOODWARD DRILLING INC. C57#710079 <br /> WELL CONDITION <br /> TRAFFIC BOX <br /> CASING TYPE PVC, SIZE—4 INCH ,DEPTH 70 FEET <br /> DTW �c� DEPTH TO BOTTOM CASING VS G OBSTRUCTIONS <br /> �1 <br /> DESTRUCTION METHOD <br /> PRESSURE GROUT <br /> OVER-BORE <br /> COMMENTS /�,s//��� � J,� 7,tlji, -1 <br /> CO ULTANT,DATE DRILLER, DATE <br /> PRINT NAME GEORGE L CONVERSE <br />