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CLARK WELL & EQUIPMENT CO. <br /> Contractor's ReP orp PW& 7 <br /> •=Il OWNER: (11) WEU LOG: <br /> ...Me Occidental Chemical Cmmpaany Total depth i97 ft. Depth of completed well 19-7--q- <br /> Address <br /> 97ft.Address 16777 South Howland Road Formation: Describe by color, dtaracter, size of matorlal, and structure. <br /> Lathrop, California 95330 0 ft.to 7 ft. Soil <br /> 7 10 Sand _ <br /> (2) LOC TION 4F WELL 10 " 19 " Clay <br /> County 1'an Joad FAn owner's No. Site #6_ 19 23 Sand <br /> Street No. 23 27 Clay <br /> Near Gyp at Oxy 42 Sand <br /> 2 51 Clay <br /> 5i " 85 " Sand <br /> 85 ,. 92 '• Clay - <br /> (3) TYPE OF WORK (check) 92 123 Sand <br /> New well Deepening ❑ Reconditioning ❑ Abandon ❑ 123 ", 130 Clay <br /> If abandonment. describe materiel and procedure In Item 11. 1 0 151 Sand <br /> (4) PROPOSED USE (check) 110nitor (5) EQUIPMENT: '• 173 Clay <br /> Domestic C3 Industrial ❑ Municipal ❑ Rotary ® 173 '• 197 " Sand <br /> Irrigation ❑ Test Well ❑ Other Qj Cable ❑ 197 '• ., Clay <br /> (6) CASING INSTALLED: If gravel packed " <br /> Single M Double ❑ Gage <br /> or Diameter from to <br /> From tt.to ft. Dlam. Wall of bora h. ft. " •� <br /> +10 t 2• #12 12" 0 197 <br /> +: 1 18 8» #12 <br /> 1. 1. .. ,. <br /> 1940 <br /> t970 <br /> 8„ r12 1• N N N <br /> v G N N N N <br /> M N N 11 <br /> Well-Shoe sin None I Size of gravel: "21" <br /> Describe Joint Welded <br /> .. 11 <br /> (7) PERFORA71ONS: None " <br /> Type of perforatlor used <br /> SIZe of perforations in., length. by <br /> From ft. to ft. Pert. per row Rows per ft. •• '• <br /> .. 11 <br /> Johnson Well Screen Slot Low " <br /> Carbon ShaPed Wires 189' - 19 " <br /> N N <br /> N 11 <br /> (0) CONSTRUCTION: what '• " <br /> Wu a surface sanitary seal provided? ®Yes No C3Tdepth 185 ft. " <br /> •• <br /> Were any strata sealed aganist pollution? []Yes Lj No If yes, note depth of strata " <br /> From ft. to ft. " •• <br /> .• N •• Worn started May 21 19 dO completed May 21 19 <br /> Method of Sealing Cement Grout coNTFACToa's STATEMENT: <br /> This well was drilled under my jurisdiction and this report is true to the b@L <br /> (9) WATER LEVEL: 8 of my knowledge and belief. <br /> NAME Clark Well & Equipment Co. , Inc. <br /> (10) WELL TEST By <br /> Water pumped G.P.M. Address 2024 East Charter Way <br /> wn down ft. <br /> -&I lift ft. Stockton, California 95205 <br /> Yield of well G.P.M./ft. <br /> HP• (Slgned)_ <br /> Temperature of water Chemical analysis r7+ [ o <br /> Was electric log made of well? Vee No 371560 56O T'Tay 21 80 <br /> n n License No..___ n tq(f tg <br />