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s.IL0, . IIIS67 MM M&MMa ru. <br /> contractor's Report <br /> OWNER: 111) WELL LOG: <br /> Onni dental Chemi t+a1 Com�gn3�--_ Total depot <br /> es 16777 South Howland Road ?�� n Depth of wmpteted well 38 <br /> Formation: Deserlb•by color, character,size of matorial, and atructure. <br /> _ Lathroy, California 9 5 '30 <br /> ft.tn 4 k gni 1 <br /> • .� I. � v <br /> C1a <br /> ILO TION OF WELL: t ? '• S la <br /> Y ` Owner,. Ne 9 #4 12 1S Clay <br /> Mt�nc)f�la Pair —18 ?� N Sand <br /> 5 A6 Sanr1 <br /> A6 104 11,gy — <br /> TYI OF WORK (check) 1 1 ? " Sa_nri <br /> NI Deepening ❑ Reconditioning <br /> ❑ Abandon ❑ 1 74 1 5 Sand <br /> r ant. describe materiel and procedure In Item 11. • <br />'R( )SED USE (check) (5) EQUIPMENT 35 1 0 Clay <br /> pat+c Industrial Monitor _140 143 '• Sand <br /> ❑ ❑ Municipal ❑ Rotary ® <br /> C] Test 153 Cly <br /> Test Well Other t] Cable ❑ a ' <br /> i 5 Sand <br />-A§TNG INSTALLED: i " 182 Cla <br /> DoubleIf gravel packed '• <br /> ❑ Gags • ,�L <br />_ to ft. Dlsm. Wall Diameter from to t 96 " 32 K " 1aV <br /> It <br /> 121, <br /> n of bore 321- <br /> 2 5 '� � N S n d <br /> 12" o I. '�38 N 315 340 " clay <br /> 8� 8 N <br /> M "' <br /> � N <br /> l:e None <br /> Size of gravel: <br /> be ,-.nt Welded <br /> I. I. <br /> I )RATIONS: None <br />�t 1 oratlor used N <br /> of perforations In., length, by ,• <br /> In. " <br /> t. to ft. Perf. per row Rows per ft. <br /> Johnson Well Screens 60 Slot. Low '• " <br /> %n Shaved rvi- : '23� 335• „ <br /> u <br /> •• N <br /> N N <br /> TRUCTION: " <br /> I sun ce sanitary seal Provided T Yes No❑ Towhat <br /> ft " '• <br /> --y strata seated aganist pollution? ❑Yes ❑No If yes, note depth of strata N <br /> ft. to ft. ,• N <br /> nri of Sealing Cenent Grout Work started hlArrh 7 tg Al completedMArr•h <br /> CONTRACTOR'S STATEMENT. <br /> This well was drilled under my jurisdiction and this report is true to the bast <br /> tut_ .1 LEVEL: of my knowledge and belief. <br /> ft. <br /> I TEST By NAME t^1 Ark stn l i c z+ �siinmerit o TnC <br /> ,if id <br /> down <br /> G.P.M. Address 2024 FA6Tt <br /> — <br /> ft. <br /> k• stock on t^�1 ; �....,., ' a 95 0� <br /> J )f water (Signed) <br /> _ Chemical analysis <br /> t log made of well? ❑Yes []No <br /> License No._37156Dated_` <br /> .arch---'- 19 �1 . <br />