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' 0CATION MOT CHZdj <br /> ORIGINAL WA'T'ER WELL DRILLERS REPORT Do Not Fill In <br /> Me Orlglnaf,D«pllcafa rld Iflpf leale with iho ESeetwiu 7074;,7077,7011.ve t:r Code) y� O j7 033 <br /> REGIONAL WA Tput POLLU nON Smtr Well No�f/ <br /> 1119 <br /> COOL BOARD No SPATE OF CALIFORNIA / �`�� OthcrWalllVo [,CxJG �T`����.��'�� <br /> AfhroP>'lar.retlncber) <br /> 1} OWNER: (11) WELL LOG: <br /> Name F1bccbnard Paper Prodlirts Inr, _ -rn„i_dt,fes,=19 f! Prpt4ofennnlenl'ull <br /> Address P.D. B-ax 1 8 Q Formsdon Drtt rite by roloe,eAo:f4rJer,iho of mnemel aml rhxclave <br /> Stockton, Calif, 4:17 ft 510 it U <br /> MV510 Samd <br /> (2) LOCATION OF WELL <br /> Coaaty S a h Jct o qU x rl ovinar s nasarheof any-- # .--...r— .._�...��. <br /> R P D or Scrett Na 5-tock-ton & Churcb St, , <br /> Stockton CaZzfa <br /> (3) TYPE OV ►MORS (cheer.) <br /> Few well Q Deepening ® Remadmowng El abandon 0 <br /> 1}4/JaJrW+rrnJrnt,drderJbR material and prasedtare Jn Ttem 11 <br /> (4) PROPOSED USE (Ch"-). (5) $Qi IPMENT: <br /> Domes= ❑ Industnal ® Municipal ❑ El <br /> Cable <br /> f °l <br /> ixzxgarion Q Test Well ❑ Other ❑ Dug Well <br /> (6) CASING INSTALLED: If gravel packed <br /> SINGL5:❑ Ucuo�.V❑ Gaga <br /> of mAueter 6rom td <br /> or Aare fr <br /> From it to ft D4.=D4.= Will <br /> .x <br /> Type s-�d sue of t6ae w vsll nst6 Sur df�ravrl _.,�� <br /> 7]rscrtL prat <br /> (7) PERFORATIONS' <br /> Type of parfoatar wed ,• <br /> SIZE! .f performeos to Im ch b'r In <br /> From rr to fc Per!Der raw Rows per It <br /> (f;} CONSTRUCTION: Yy <br /> env <br /> �7as a surfan ssattuy srsl proeided? la Yev El No To what depth <br /> Vass any svaca sealed apcert poildrtod? Q Ya [] No it 74t dots doVh of seems <br /> ia3ri it to it <br /> Method of Sealant work,t,ced to r�or.tdd - es <br /> {9) WATER LEVEL3: v rLL DATI.LEIt S STATEMENT- <br /> (9) tvrll war draw order my lurradr[tiaJu and this wporl la true to for beat of <br /> Aepch at which wtttr wet Gest feand 84 it. my ks?owlydgt acrd bellsf w <br /> lerrlhrfaeaper{ontens it NAME Clerk 64th Ori.Z.la. Ca- <br /> r Isrel sfler perfnnelna fe rprnod,Grote or eorptrstmn) tr7prd of pnosscll <br /> Address 2124 Em Cry�xt�� -- <br /> (I0) WELL TESTS:• + 5t tan al-I�fa was s pomp net mads? Yd o Ne if yd,hr wheat? Clark t�fea,11. <br /> Et draw dawn after 1� hes [SteNEn]` _ elt Dr,Ber <br /> Yuldr 1430 11.1/mid rich 51L 7 <br /> Tr,op.rstam of Vater was t ahaaieal sasl7sit Mads? Q yn 0 No tAcense NC...._76602 ——_ Dated M 3�r`h 1.8 �.��19—❑J <br /> spar rlectne loot made of well? 0 Ya 0 NoOWR ? 1 i <br /> "Dan0-37mit anter d SPO <br />