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r <br /> WELL DESTRUCTION(ABANDONMENT)FORM <br /> DATE — - •Gf TIME �� 02'� ,METHOD T p <br /> PROJECT NUMBER R603 _ ADDRESS 6425 PACIFIC_AVENUE,STOCKTON, CA <br /> WELL ID# MW-12. WELL USE GROUNDWATER MONITORING <br /> WELL OWNER WICKLAND PROPERTIES, PROPERTY OWNER DR,SIDNEY KERSTON <br /> WF,LL ADDRESS 6404 PACIFIC AVE,PLANTER EAST OF PACIFIC AVENUE,EAST OF <br /> fi$14 PACIFIC AVENUE,STOCKTON,CA <br /> p- <br /> z <br /> OVI<RSIGHT AGENCY SAN JOAOUIN COUNTY PUBLIC HEALTH SERVICES,fPHS-EHD) <br /> DRILLING CONTRACTOR WOODWARD DRILLING INC C57#710079 <br /> WELL CONDITION <br /> TRAFFIC BOX I <br /> CASING TYPE PVC, SIZE—4 INCH ,DEPTH 70 FEET <br /> DTW )S! L-/ , DEPTH TO BOTTOM CASING 70 44 OBSTRUCTIONS G <br /> DESTRUCTION METHOD <br /> PRESSURE GROUT <br /> OVER-BORE <br /> COMMENTS eG.r .AI SL,,- a <br /> w4. if <br /> 7� - <br /> ds <br /> CON TANT,DATE DRILLER, DATE <br /> PRINT NAME GEORGE L CONVERSE <br /> gy �wf� <br /> 3 <br />