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r . ,MAN[,& —I, W Q i <br /> .ontractor's Report - <br /> O• .IER: <br /> (11) WELL LOG: <br /> Occidental Chemical0='D Total depth 24 k. Depth of completed well I8Q <br /> 16777 Sottth Nowla.nd Road 5 <br /> k. <br /> Lathrop , California7 ftFormstlon. Describe by color, character, size of matorlal, <br /> 95330— 0ft.to and awcturo. <br /> • Soi 1 <br /> 7 '• 1 C " <br /> 4TION OF WELL: �Q_ 4 . ana <br /> S Say <br /> Y T . o. O Site <br /> Owner's NO <br /> lo. �5 1. 25 S nd <br /> 25 -35 <br /> i5 '• 82 " Send <br /> A <br /> '• 92 1. <br /> -41 '• 97 Sa ALL---- <br /> f <br /> L —_r OF WORK (check) 1 5 Clay <br /> 150 <br /> well M Deepening ❑ Reconditloning Sand <br /> t <br /> C] Abandon El1 50 172 Clatr <br /> tent. describe material and procedure In Item tt. <br /> .. OSED USE (check)IdIOY1i �or (5) EQUIPMENT: 1— 72 17 Sand <br /> estic C] Industrial C] Municipal ❑ Rotary ® —76 2 5 Clay <br /> ❑ Test Well ❑ Other ® Cable ❑ <br /> _.NG INSTALLED: 1• 1. <br /> Double If gravel packed '• •• <br /> Gage <br /> tok. Dlam. or Diameter from to '• <br /> Wall of bora <br /> ' 12" 12 12" 0 '• 1 0 ... <br /> ! 2' " 12 " N <br /> 180' N N " <br /> g" 12 '• 1. <br /> N N • 11 <br /> N N <br /> size None sirs of grol: "2I" •• <br /> Int Welded m <br /> -"')RATIONS: None " <br /> _ foratlor used '• " <br /> of perforations in., length, by •• N <br /> In. <br /> ft. to k. Pert. per row „ <br /> Rows per ft. •• <br /> -uohnson WeScreen. O • <br /> -ion Shaped W rel 29 _ ow ” <br /> - • It <br /> I 1TRUCTION: '• " <br /> s ce sanitary seal provided? 'M Yes No[ITo what 168 ft. " •• <br /> depth • <br /> my strata sealed egsnlst pollution? ❑Yes ❑No It yes, note „ <br /> depth of strata ,• <br /> ft. to <br /> N '• ” <br /> Id of Sealing •• Wor1t "t" r?LnB ? is <br /> Cmment r ur011'C S 1�0 completed Tttnp ? tsSn <br /> CONTRACTORIS STATEMENT: <br /> RLEV�' of This well `vel drilled under my jurisdiction and this report if true to th <br /> ft. my knowledge and belief. e belt <br /> -r... TEST By NAME ^1a, k '•.T-,s11 a. t, 17_.: <br /> 0. <br /> t 1 <br /> jown <br /> G.P.M. Address 2024 East C, i <br /> k Stockton, California 95205 <br /> v Q.P.M./ft. <br /> *t— of water Chemical analysis (Signed) <br /> t log made of well? ❑Yea ❑No <br /> License N0.371 �6O <br /> Dated_—,Zl 19�o <br />