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IrRIGINAL STATE OF CALIFORNIA Do not fill in THE RESOURCES AGENCY File with DWR DEPARTMENT DE WATER RESOURCES No. 084774 V 'E Intent No. WATER WELL DRILLERS REPORT state Well No. IPermit No. or Date Other "Fell No- ✓✓ '�-' A (12) WELL LOG: Total depth_2-6_�_ft. Depth of completed well '- Address fram ft. to ft. Formation (Describe by color, character. size or material' r zip — 5 DARK BRO(I,'N STIFF CLAY ADOSE) � ) LOCATION OF WELL (See instructions): 1 5 — 9 LIGhT BROR IN STIFF SILTY CLAY C,,Imty SAN 10AQ INO�.ner's Well Numb,ARC0 PLANT! 9 12 DARK GRAY SILT 9 CLAVEY SILT Well address if different from aboveTANK FAPYI PORT OF STOC_K_TON 19 14 ._"1IGh'T GRAY STAFF CLAY il .,nship Range sectio I 14 27 DA�7R'Kr GRAY SILT 9 SILTY CLAY 6tance from cities, roads, railroads, fences, etc. 27 FINE ,GRAY f_ 'GRAY SILTY SAW 31 — 41_ CLEAN,. COARSE-_SA14D 9 SMALL GRAVEL_ 0 /1!'00D DEBRIS — 41 — 53 _--- !'GRAY SILT 6 CLAYEY SILT (31 TYPE OF WORK: — 68 CLEAN, COARSE SAND 6 SMALL GRAVEL "est Well JK- Deepening F — "21L1OCt VEBRIS L I Reconstmcti,m c I 68 — 73 GREEN SILT 9 CLAYEY SILT Reconditioning = 73 - 92 CLEAN FINE TO r1dEDICtA� GREENISH Hor'z>ntal e13 92 _103 5i GREEN SILTY CLAY ! i Destruction ` {Describe I 103 —114 _ GRAY FINE TO MEDIC[�-� SAND I destruction� materials and procedures in Item 12) 114 —122 GRAY 9 GREEK SILTY CLAYS 4) PROPOSED USE: 122 —132 CLEAN COARSE SAND 9 SMALL GRAVEL Domestic 1 132 —139 GRAY 9- GREEK' CLAYEY SILTS +V Irri::am,n :� 139 —141 FINE GRAY SAND - Industrial 141 -146 SJJEE GRAV CLAV Tes: Well 146 - SILTV SAVP Stock ❑ 150 —154 GREEN GRAY SILTY CLAYS Municipal 13 154 —158 GRAY SILTY SAND ""'ELL LoeaTrox ssETCIi other CATHODIC ❑ 158 --1-75 GRAY SANDY CLAY L EQUIPMENT: (s) GRAVEL PACK; 175 —187 CLEAN COARSE SANf7 u �'t1ALL GRAVE Rntxn [ }i eyerse ❑ Yes ❑ \u ❑ Size 1.87 —205 GP.A�' SILT' CALM C-hle L; Air 0 Diameter of bore - 205 —211 FINE TO ME'JTUM GRAY SAND f er ❑ Becket -71 Packed,from to ft. 211 —222 GRAY SI LTV CLAY 6 CLAYEY SILT CASING I\STALLED: - (8)-PERFORATIONS: - Steel [] Plastic ❑ Concrete F1 Type of perforation or size of screen - = - ?rotn To--- Dia. Gage-or From To Slot . Le ft. ft. in. Wall ft ft. size — (9) WELL SEAL: � - — "'•s surface sanitary seal provided? Yes q�ttr No ❑ if yes, to depth_ k. � nn �t1 `� -re strata sealed against pollution? Yes Igo L"' Interval - /_,/ ft. - REthod of sealing .CONCRETE Work started 19ZL— Complei f24064 I9 (10) WATER LEVELS: WELL DRILLER'S STATEMENT: i ,pth of first water, if know -- - R" This well was drilled under my furisdiction and this report is tete to the best of my tiding level after well completion ft- knowledge and belief. (11) WELL TESTS: SIGNED i"as well test made? Yes a No C If ves, by whom? (Well Driller) >e of test Pump L Sailer i_] Air lift ❑ NAME PITCHER DRILLING CO. pth to water at start of test ft. At end of test -'"ft (Person,(firm, or cn �rattio�n) (Typed nr printed) D;• 1nArge ;a!/min after hours Nater temperature Address 7 5 AL LES{ANY S REc-1 ? Cin, •DALY—CITY, CA zip 94014 xl analysis made, Yes J No {] If yes, by whom. 263085 6126179 ' ^�ctric log made? Yes ❑ leo e If yes, attach copy to this report License No. Date of this report 188 (REV. 7.76) IF ADDITIONAL SPACE 15 NEEDED, USE NEXT CONSECUTIVELY NUMBERED FORM 1M