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CLARK WELL & EQUIPMENT CO. <br /> *ontractor's Report Saw <br /> 1) NER: (11) WELL LOG: <br /> Cccidental Chemical Company Total depth `11 8 ft. Depth of completed well 118 ft_._ <br />,ddress 16777 South Howland Road Formation: Describe by color, character, size of material, and structure. <br /> Lathrop, Calif ornia 95890 n ft.to 7 ft. S-ofrl <br /> " 11 Sand <br /> 2) LOCATION OF WELL: -I-1 13 r1 ay <br />,out San Joaquin owner's No. Site #9 23 9� <br /> tree lo. John Mendes Dairy '• <br /> 17631 South Howland Road 27 35 - N Sand <br /> Lathrop, California 95330 43 " Ao " rlaar <br /> An " 77 " Sang <br /> 77go ('lay - <br /> 3) TYPE OF WORK (check) � §4 Sand <br /> Sew 111 12 Deepening ❑ Reconditioning ❑ Abandon ❑ 94 •• 105 " Clay <br /> ab onment, describe material and procedure In Item 11. 105_ 118 " S nd <br /> 4) PROPOSED USE (check) ..Tonitor (5) EQUIPMENT: 118 ay <br /> aon ;tic ❑ Industrial ❑• Municipal ❑ Rotary :k] <br /> ri( on ❑ Test Well ❑ Other laCable ❑ „ <br /> 16) CASING INSTALLED: If gravel packed " <br /> Ing( Double ❑ Gage .. <br /> or Dlameter from <br /> to <br />-con. ft.to ft. Diem. Wall of bore ft, ft. " • <br /> N•1` 3• 12" _12 12" 0 118.. <br /> 1 110' 6 5/8" 4-12 '• •• <br /> 118' 6 5/8" -412 <br /> ell. to size clone Size of gravel: 112t" " <br />.escribe Joint Welded <br /> 7) RFORATIONS: clone „ <br /> Vpe of perforstior used • •. <br /> IlZe of perforations In., length, by In '• <br /> Tor ft. to ft. Perf. per row Rows per ft <br /> Johnson 4ell Screen, 0 ;lot, Low '• •• <br /> 1a )on Shaped TATi ret 11011 - 115' '• " <br /> 18) INSTRUCTION: " <br /> To what <br />'as a surface sanitary seal provided? fl Yes No❑ depth 1 0 6 ft, .. <br />'ere -y strata sealed agenlst pollution? ❑Yee ❑No if yes, note depth of strata " <br />•roR ft. to <br /> ' '• '• Work started May 14 19 80 Completed May 1 19 0 <br /> llethod of Sealing ( pnt ('rr"t <br /> CONTRACTOR'S STATEMENT: <br /> This well was drilled under my jurisdiction and this report is true to the best <br /> 0) __-ITER LEVEL: 7 of my knowledge and belief. <br /> ft <br /> Ifo) ELL TEST By NAME Clark Well & Equipment Co. , Inc. <br /> ater imped G.P.M. Address 2024 East Charter ;Jay <br />--vn down <br /> ft. <br /> ft Stockton, California 95205 <br /> 31d well GPM /ft <br /> (Signed) <br /> ape---its of water Chemical analysis <br /> tat tric log made of well? ❑Yee ❑No License No. 371560 Rt <br /> Dated L_ay_15 80--------, 19 - <br />