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AN 1 a 1966 <br /> OR31GiNAl. Do Not Fill In <br /> WATER WELL DRILLERS Nil 102448 <br /> Filo Original,Duplicate and Triplicate with the (9eat:ana 7076,7077,yoga,warn nada • <br /> REGIONAL WATER POLLUTION State Well No <br /> CONT1tOL EpAIM Ko 5 THE RESOURCES AGENCY OF CALIFORNIA <br /> er!a capriole m,tnbrr <br /> ebtx well-No <br /> OWNER: (11) WELL LOG: <br /> Name 0e M. Scott & TS*ons Total depth 161 ft Depth of cotapiated van 161 It <br /> Address 1880 Plea Balt Y a1 A AVerA119 <br /> Formations Dejerlba by calor,ek"celn,rI=of-naltrFal,and rtruUure <br /> Oakland Calif. 0 ft to 19 (tole <br /> _19 30 ••Gravel(Dry <br /> (2) LOCATION OF WELL` 30 34 -Yellow Clay <br /> Comfy Ian Joaquin Owner s numb,,,if any— <br /> •• 6 •'G avel 17 <br /> R F D or Street No 0 Traa- mouth -Yellow Cls <br /> �--vf H3 g']wa. of pQ �E <br /> f A, nrox�€maalv�_rtfl�t. 42 48 <br /> Gravel D <br /> 50 6 --Yellow C39 <br /> • 79 Gravel D <br /> (3) TYPE OF WORK (cbecle): 22 E Yellow clay <br /> 8 88 Gravel D <br /> Now well ® Deepening ❑ Recondrtiontrtg ❑ Abandon ❑ 88 "band C1 <br /> gy <br /> ,I f abandonment,describe fnaterral and procedure w Item 11 a w l 7 "Sticgy Yellow Cl <br /> (4) PROPOSED USE (check): (S) EQUIPMENT: 13_7 142 ..Fine Gravel with 0oars_e__S_a_nF_ <br /> Domestic ❑ Industrial ❑ Mumcfpal ❑ Rotary ❑ low C a <br /> Irrigation ® Test Well [] Other 1] Cale ® 149 155 th Coarse Sand <br /> Dug, Well ❑ p <br /> (6) CASING INS'T'ALLED: If gravel packed <br /> smcaxx M DOU13LEL Q Case - "- <br /> Domeier from to <br /> From of, m ft 8 Di. 16 [Pall of Elora ft it <br /> r - <br /> ` 0 161 10 <br /> t <br /> (1/2 x <br /> Type and size of sho6 of wall ria 3 x Size of snrel i <br /> Describe joint Welded ` r <br /> (7) PERFORATIONS: <br /> Type of perforator aced Mills Knife E <br /> Size of pecforattanx 11 In.lee1arth by <br /> Frgin1 37 fr to 142 _ft Perf per tow <br /> 1 Row^per It <br /> 149 155 <br /> (s) CONSTRUCTION: z► <br /> Was a surface sanitary feel prowdedl ${Yes ❑No To what depth 53 fc <br /> Were any strata Sealed against pollntwa? O Yu ON* If yes,onto depth of strata <br /> From ft to it <br /> Method of Sealina Werk started Aril 29 1 f9 66, completed <br /> (9) WATER LEVELS: WELL DRILLEER'S STATEMENT <br /> This well war drilled under wy junsdictjon and this report is true to the but of <br /> Depth at which rater was first found my knowledge and belref <br /> otjnd�i7ng lavtl 6efoee parfaraclas �� ftNAMEVESTERN WELL DRILLING CO. LTD. <br /> level Offer perforst4ng fc ll Parson,,++,,ficQ,,oto pOraNOn] (Typed or prinrrdl <br /> Address ♦ �. F7ox <br /> ) WELL TESTS- 1 S J sex., Calif. 95103 <br /> Was a pumptestmade? M Ya Q No Ef yes,by wham? Driller <br /> Yield, 370 _ [$IONEII ...- <br /> s '�0 y 1 firs f Well Driller <br /> 111[min Sett ft drax down after GG <br /> TF pec.+tura of water Was a ehemicai ane) ria made} Q Yes [XNe Lteeose No_25182 DatedJune 8 <br /> Was electric log made of well? Q 7'n (l4 Na <br /> 1171046 a as seat Quin 0 A apo OWR t$S IARV 9 541 <br />