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STATC OF CAI.IFOP_NIA <br /> DE-CO .RTMENT OF PUBLIC HEAL0 <br /> sTocK1oTr <br /> I <br /> V(2)L' <br /> DATA (1) IdentificationI,odi Cit Nell Yo. 12 <br /> f ovation- - 1412 S. llutchirs St., S. of Kettleman L,-ne <br /> b RSource of Information Richard T. [r3-tt py1CeT?iBY-xgS�- <br /> anson & se-:- iedt --- ---- _ -_� _ <br /> (3) Number or Name Plant ,12 WELL LOG <br /> Date drilled__ 0-- 40 Bro=m clay----- + -- <br /> �'es--B'a-'al -_60 Brown sand <br /> (4) Loczhon: Naghborhood-___ - <br /> Size of lot -__ --- $0 _.$roan cl-of------ <br /> PDistance to: Suver_ -___- 70' ____ --- $4---S:±nd--- --- --- <br /> Sewage duposaL.-.— 2 to storm drai _120 Browner , <br /> Abandoned wc11__- ons -----132--Clay- <br /> Nearest property lane ------- <br /> (5) Housing: Type- Ea rt"i-Pave-.en t 212 <br /> -- - _----__C_l-a--y---__ <br /> Condition Good <br /> Pit depth (if 9 <br /> --- --- <br /> _ - <br /> Floor (wa1erfa1)-_—_ Pea Gravel <br /> Drainage -_ -- - rai r ----- <br /> (G) Well Depth_— -- 00' - <br /> P 400 <br /> (7) Casing; Depth---------- �� <br /> Diameter-- -- r _ - --0-- 0$_ 20-_-1/fit-_plate----- <br /> -- -0 _ 209--1b" —1.0 ra_�'�-= <br /> Height abo,.a floor---_-__-- _ 264 ->" 4 All to a� <br /> Distance to highest perfor cions__ 210' ---4!0-- 490- -12" 10-Ca.-------- <br /> } Surfatc sealed (yes or -% - Yes --- -- — - -----_ <br /> t:£e TCS r3l? `jC2 C!�✓l�.— <br /> Second cas.ngdepth --- --• 0--103f •_-�9�?�1���';epOlt___-__ __ __-__--- <br /> Second casing diameter-__ --_ 20" - 1/4" plate <br /> Annular seal (drptb)___ _—_ LG i routed _--Th;.*we7-:,_shpuld produce more_,tater. <br /> _ Check-sizing of p.np, -d_ra.;do in, <br /> Thicknres__ lF0 S -xaotor horsepower, ezc. Prot_ec-- <br /> 10Penetrated Depth to-.. <br /> (8) Impervious Strata: 0 i tion fror. vej:zcular traffic- should <br /> - <br /> be ravided as soon as ossible.-_ <br /> Surface -- -- - - - ----- - <br /> (9) Watenrexp th to s- 5' <br /> When pumping__ 74 <br /> {I o) Pump: Byron ecl:soFt <br /> PSul7ersible <br /> _--- ---.�_��_ - --- - - - - <br /> T�e <br /> Cap:city, g p -,n t 6 psi <br /> -- - --- <br /> m.-�_ - - ---- - - -- - <br /> Lubrication_--- _— t;p — -�`=--=---- .- -_-__----- --- ------ <br /> Power 100 UP -Elec <br /> Auxiliary power "L( -- ---------__- - __- ----- <br /> Control-------- P'' <br /> Discharge IOCatiOn_— <br /> t <br /> ..- <br /> Discharge to— <br /> sand trap - --- ---- _ - - - - - -(It) Frequency of Use !11. year <br /> (I2) Flood Hszard <br /> (13) Rem-irks and Defects_ <br /> (Use other side if necessary) <br /> 4 <br /> 39-004 (12) <br />