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CLARK WELL & EQUIPMENT CON <br /> Contractors Report pw/o . <br /> (1) OWNER: 01) WELL LOG: <br /> I <br /> eme peri dental chemical Compnny Total depth 245 ft. Depot of completaa wall 195 ft. <br /> . Address 16777 South P_-ow12na Road Formation: Describe by color, dtaracter. size of matoHal, and stniij <br /> T,a� ft <br /> hron. california 95330 0 ft.to 6 ft. Soil <br /> '. m •• clay <br /> Sand <br /> (2) LOCATION OF WELL: 2: „ 24 <br /> w clay <br /> County 4an TnanTtin owners No. Si Ifs 1 QA L w 32 Spy <br /> el .. <br /> Street No. <br /> 15777 Snuth_Howl anti Road 2 .. 51c ay <br /> 1 <br /> ar .. 112 '- 5 all <br /> I trnn • cal if o=3 a 95330 - -- <br /> .. „ <br /> it <br /> Clay <br /> 2 „ San - <br /> (3) TYPE OF WORK (check) ay <br /> New wallDeepening ❑ Reconditioning ❑ Abandon ❑ ", San <br /> If abandonment, describe material and procedure In Item 11. •' t_1 ay <br /> I (4) PROPOSED USE (check) i-cjlitOT (5) EOUIPMENT: •• 19 Sand <br /> Domestic ❑ Industrial C-] Municipal ❑ Rotary Ek- •• z45 •' Clay <br /> I Irrigation ❑ Test Well ❑ Other [k Cable ❑ •• •• <br /> r (6) CASING INSTALLED: If gravel packed •� <br /> ' Single n Double ❑ Gage •• M <br /> 9i or Diameter from to <br /> ( From ft.to ft. Dlam. Wall of bora <br /> w .. <br /> 12- 91 -D �Q^T <br /> 1 e e ^ 1 <br /> .. u <br /> iell•Shoo size None Size of gravel: is?1 ,e •• •• <br /> Describe Joint fel rjp{j •• <br /> -- (7) PERFORATIONS: `Done ' <br /> Type of perforatior used <br /> Size of perforations In., length, by In. „ <br /> From ft. to ft. Perf. per row Rows per ft. <br /> Tohr�>;nn Tti'ell Screan. 60 Slat. <br /> T nw Carbnn Rhan�ii re t 1979 - 1 �r •• <br /> l (8) CONSTRUCTION: " <br /> To what , <br /> Wu a surface sanitary seal provided? Yes No❑' depth 183 tt. '• ' <br /> Were any strata sealed aganlat pollutlon7 ❑Yes ❑No If yes, note depth of strati " '• <br /> From ft. to ft. " •' <br /> •• •• •• work started r1ay 30 19 , completed gray JU 19 <br /> Method of Sealing rpMent GrinUt CONTRACTOR'S STATEMENT: <br /> This well was drilled under my jurisdiction and this report is true to the best <br /> (9) WATER LEVEL: 4 ft of my knowledge and belief. <br /> NAME Clark Lyell & Equipment Ce. a Inc <br /> (10) WELL TEST By <br /> Water pumped G.P.m. Address 2024 East Charter .Vy <br /> ^•awn down ft• <br /> .1 lift ft. Stocktcn, California 95205 <br /> Yield of well G.P.M.M. <br /> H.P. (Signed)— — -- ----•---. <br /> Temperature of water Chemical analysis <br /> Ea � <br /> Woe electric log mode of well? n Yes 11 No License No 3715 0 Dated--' .31._ - - , 19 0 <br />