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ORIGINALW.A�TER WELL DRILLERS REPORT Do Not Fill in
<br /> ea w•.�.z spire 1��•. ' NO '74514
<br /> fila Or[glnal,Dlrplitaland Triplltafa wHll iha 1Sections 7076,yon,rocs,orate;eedel k
<br /> REGIONAL WATER POLLUTION STATE OF CALIFORNIAtate WellCj9dWCALIFORNIA �+
<br /> CONTROL BOARD No. — 6v:� Other Well No. e .qpp
<br /> --f-t4— 0
<br /> rrrrl approprrarsssamber
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<br /> OWNER" A (11) WELL LOG:
<br /> .[€ Name :S a D. AildJ,in Total dtpth ft. t) th of tom feted well 16o
<br /> i - tt.
<br /> Address f Fvrsnstiens Drtrrr8t 6y roraz,c6ararM,sfxe vI mafer)ets end Urarhre.
<br /> ,don Calif. 266 0 it.to 3 ft. eand top soil
<br /> 20 sil ty br cl.
<br /> (2) LOCATION OF WELL: 20 =2 " gry o1
<br /> Counsy San Jolt uin ovaet's namber,if sny-- .22 30 * St�nd3 br c7
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<br /> It.F.D.or Street Na, rarest side of 11ort Ripon-Rood 3Q. 40 .Tgry el & sil t• ., c1
<br /> and tilile forth of ale ieo Rod sand br alwry qand & srlll. grvl, rock o I
<br /> 55 62 br al & sil-ty, brat
<br /> Tots r -br c1
<br /> 71, rirsn"11r. k
<br /> 1 tough Ary—br c
<br /> (3) TYPE OF WORK (check): 26 84 ? el
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<br /> New well M Deepening ❑ Reconditioning ❑ Abandon ❑ 84 85nd Cl
<br /> IJ abandonment,deieribe material and pmcedurr bi Item Il. _ -95 " 93 " sand, igrvl & rook
<br />' (4) PROPOSED~USE (cbeck): (5) EQUIPMENT: 93 gry 0 t o nd -' ravel C7_
<br /> Domestic ❑ Industrial ❑ Municipal ❑ Rotary ❑ &r vil t, firm gryc
<br /> Irrigation ® Test Well ❑ Other ❑ Cable ® 3.03 ;: gleen gxy o
<br /> Dug Well ❑ -I-eqtQi)&Jh tXYc
<br /> (6) CASING INSTALLED: If gravel packed 322 1 31 " fi & a—br e7-
<br /> SINGLE':,] DOUBLE❑ Gate .. F
<br /> ryry qq at Olamstee Ecom to 1 11 Tirii l] br Qa.
<br /> From it,to 102 ft. 12Dlam. 10 W r of Mote Et. ft. ,� ,�,�8 �.�
<br /> ' softer SS &: Gem. B� sand
<br /> 17 1.22 " Tough br c1 to SS
<br /> 1 �/.. Goarae sand & darn gryl.
<br /> 1_K - .. 126 _Br cl
<br /> 126 128i. " soft br SS fine ak gry sand
<br /> ti ' 'I To h nlixed br & is�lt ar sang
<br /> Type avd size of ehee ar well rind 3C� siu of Ersrelt .. ,.
<br /> Dmaetibe;oiae i�axdea collars -1..31 ---- ' .. 140 sl ty a1—gry_e1,-brig. cl & SS _
<br /> 03MAJI d e
<br /> (7) PERFORATIONS: 144 15�ry` to SS j
<br /> Type of pattararor wed i T'y1 1. 1A0 •Pi sin gry•cl �.
<br /> Si= of perforaelons ia.,leajeth,by
<br /> I"roin ft.tnn �., it. peel,per rev Rews Par it. .. ..
<br /> (S) CONSTRUCTION:
<br /> WY a sw(aeotattltary teal providtdt ❑Yts ERNo To wlut depth it. GONFIBENTIAI L10111
<br /> Were any musts naiad aaalms polladon? ❑Yes ❑No if yet,torte dtpth of stuta - .. i3ads Boo. 3:5"152
<br /> .,
<br /> From
<br /> Method of Sealing Work tutted 5/1307 i9 completed 1, t9 4
<br /> ❑V& I)RALER'S STAT a
<br /> (9) WATER LEVELS: ti.!vhh ora! i,;Q,tdrillrlllun}IyW urlydtetian and tbir rrport it true to the best of I
<br /> Depth at which watts vas first feoad _ ft. '
<br /> ._ __.. [t,r,� , my knowledge slid brlieJ. I �
<br /> ctndianitrd before perforating8 fr: NAmv -Ptirviance DrilI ers
<br /> - .ndiag level sker pertvrae:na .f lt. I; '( cf ss,' tn,or carvtcmtton _
<br /> i t I ypref v,p,.atrd)
<br /> (1 o) 'vELL TEST'S":
<br /> r -- t T 3nden �Ce1 if. 5236 E
<br /> Was a pump ten msde:? ❑Yet RN* If yes,by whota2 ` '
<br /> Yield jell./min-wiih it.draw down after [Sic:a>:nl-_t-.•_ ,.,_,�---.,._... ___,..�� _,.,,�._...,
<br /> mrt!nrrrrrr
<br /> Temperature el water was.chemi"i eaalytis made? [J Yes ❑No - ry
<br /> S vat slectrit le6 made of well? ❑Yn ❑NO
<br /> + 57039 e-ez.eapt atilt,A neo DWR 188 (Ro—y.3-54)
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