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•? 11 0 �, �~ " `� LOCATION NOT CHECKEV <br /> C1RICiih1A1T "'�"�� ` WATER WELL DRILLERS REPORT%_, Do Not FN In <br /> �e Original,Duplicate and TripiIcals with the {Sections 7076,7071,7078•GVrrtet Coda) No 1570 <br /> et . <br /> REGIONAI,VATER POLLUT1011, Sn a Weli No %9-Z. <br /> GONTRO]L BoA" No� STATE OF CALIFORNIA <br /> '1110 appraprtdre irnmb") Other Well No <br /> y a O�iVER: (I I) WELL LOGt <br /> sy y 1+ •1� �y 6 <br /> Name 1^ji Y o Tr$(si Ton]dapch 1.1. O fc n th of eomrieted.veil 1148 ft <br /> Add rr is City Farmatronr Derntbe by mfor,Trrbereetrr,rhe of ararev)el,and r0rarr0arr <br /> aa Calif. 6 fr.W 6 z fr TO Soil <br /> 6 a f_Sandy Clay <br /> (2) LOCATION OF WELL: 30 6t4-ging Brown Sandib <br /> Conntr Orreer's nnrmbae,if aur— <br /> it F D at Straet NaHiii cornar of City jagnPark, 108 113 S Y , OW C <br /> San <br /> 12.5 13 GoarsA Sand (Frae) '2.0 <br /> — 2 76YPJJOVI sandy C a <br /> I AA Yellow 01 X & Gray <br /> (3) TYPE 01 WORK (check): I 9s; 19st r Allow sandy! Clay <br /> New well ® Derli ❑ Reconditioning 0 Abindon ❑ _19 By <br /> I abandoompul,describe m terlal and Procedure In Item I 23.6 2 2-6-3, OF4 Gla a <br /> (4) PROPOSED USE (check): (3) EQUIPMENT: f' p 0 g <br /> Domestic ❑ Industrial ❑ MUMCIP21 Rotary E] 249 251 -rGr -pswe <br /> Irrigation ❑ Test Well ❑ Ocher �] Cable ❑ _-- 251 26 j <br /> Du Well ❑ 260 Aw Q3 <br /> (6) CASING INSTALLED: If gravel packed 10 <br /> sllvol. XJ DOUBLE 0275' 282!t in$ a 094 <br /> Gast — ? <br /> amster fre.at w '3.5 s— Mut Sandy r' <br /> From It to l ft Diem WSJ l DeofRaxe it <br /> ft a* _ <br /> 0 .402 16 � 516 381, 0 305 319 3 <br /> CO2 n48 iL2„.. /lb X011 340 U48 340 _ _369 3„ BifVuA C fir oft) <br /> .. /� <br /> 6 AtE _3723 �ru^�aY—ward) <br /> 972 J. <br /> .. 7 S Blue Sandy May ...•_., <br /> ys Sxl $ Y �3y <br /> Type and nae of shoe or 178/0 ctnR y Non Sla<of gtawle _� 492 3 gray Clay( , <br /> Describe reran �L 4 & Stra T— <br /> — 492 498 <br /> (7) PERFORATIONS• -- 4'g�4 `'' ��Y 01 & a Sd C <br /> Trpt of perfarasor used FReto M 1l 5.” �. 52in .Ga`ey_ Clay'(Hard) <br /> Size 5;2Q 543 C7 <br /> cf-perferulons 2-•l 2 to•/earth,byana <br /> l& -- In '3 <br /> fr=3374 to 398 1- 8 Patf per rax Rosa pet it <br /> 54470 ,. 59r, <br /> 507 ' 526 <br /> 545 561 = 516 597 <br /> ifa]Oampntarl Gra <br /> `qtr <br /> (0) CONS'TRUCT'ION: � r <br /> Wras a rruface Sanitary"pr011dtd? It Yes Q No To what depth 240 ft i 45 <br /> 630 SS`Zoo Gra FA1 & Yajlow C?s <br /> Were any strata leaied against pollmton? Q Yo LXNO if ya,non depth of strata - <br /> From .63� � C;7 one AV81 T <br /> It to rt _633 642 S Y$17_ w C!ay G=Y.0 <br /> 642 <br /> Method ofSealing Work sttrrad A llril..],O 19. .c_plated Augs2S '9_63 <br /> (9) WATER LEVELS: VELL MILLER'S STATEMENT• <br /> Tbls well was drilled trrrderr my lrrrrrdletron and ibis report is trite to Me bent of <br /> Depth at w6itb water w•s:lint foaad Not, A fe <br /> mY kxotvlad�gt�and <br /> Qbelief. <br /> �f <br /> 4` Seasi level befon yerforadns-- -- n 11 IT .. .--y it NAME WESTERN WELL LL DRILLING 00. LTD. <br /> sodsag laval■!(ar ptrfotaring E1 1! it (Perron,!tree or earutr.uoa) IT7Ard or Pr-Wed) <br /> Address P. 0• Box 47 <br /> (10) WELT, TES'T'S: San Jose 3 Calif, Ly�� <br /> Was a pump test insist $1 Yes o No If To,by whom? DrUier UPy!J[- <br /> Yrcldr �� - Sal/rrua with 35 it dyr down after hit [5i°NEnj'_"' •^" <br /> e] Wrli DrlHer y t �T <br /> Tatoperaturt of watrr Was i%hsmical analrers made? ❑Yet No L1CettisO xQ �£n_� Dated—00t.-AL2 t ll9-61-- <br /> VIA <br /> . i1—»MSA electric]OR aside of well? .)]Yea [] No f <br /> 11 0 07 wI4 auto A sro DWR 168 (REV s zw <br />