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CLARK WELL & EQUIPMENT CO. <br /> 4-l'ontractor's ReP ort W12GOOD *73 <br /> '1 )WNER: (11) WELL LOG: <br />.18.,,3 C)CCcal C=Jilj�ny Total depth 75 ft. Depth of completed well <br /> ?� ft. <br /> Address i 1677in <br /> 7?.7 iinut}t Hn!al aA Read Formation: Describe by color, character, size of material, and structure. <br />— TaArn'n,—('a i i f orni R Q5aQ__ 0 ft.to 4 ft. <br /> 4 " 14 Sand _ <br />(2) LOCATION OF WELL: 14 20 C1 au <br /> cot qan JoantTin Owner's No. Qi to #I _2Q 29 Sana <br /> Stre No. „ <br /> 2Q 6i •• (+1 av <br /> 6i 70 SanA <br /> ?o ;: 75 C 7 Ay _ <br />(3) TYPE OF WORK (check) „ <br /> New tell ry Deepening ❑ Reconditioning ❑ Abandon ❑ .• <br /> f a__..donment, describe material and procedure In Item 11. „ <br />(4) PROPOSED USE (check) ,? (5) EQUIPMENT: <br /> c�.OT11t0 <br />)o' stic ❑ Industrial ❑ Municipal ❑ Rotary IR „ <br /> rrl ion ❑ Test Well ❑ Other [k Cable ❑ , <br />(6) EASING INSTALLED: <br /> If gravel packed " <br />•ilnr a Double ❑ Gage „ <br /> or Diameter from to <br />-rorn ft.to ft. Dlam. Wall of bore ft. ft. .• .. <br /> • 6a <br /> I2 <br /> tell oe size Nona Size of gravel M21 •• <br /> ascribe Joint gelded '• " <br /> 7) :RFORATIONS: clone " <br /> ape of perforatior used „ <br />,IZ(_ of perforations In., length, by In '• <br /> roi ft. to ft. Perf. per row Rowe per ft. <br /> John ann WA 1 1 qt-rnAn, 60 1;1 oto Taw " •• <br /> < inn .ci Wire ice' <br /> 701 ,. <br /> 1) )NSTRUCTION: <br />'as a surface sanitaryseal To what <br /> provided? Yes No❑ depth 61 <br /> ere y strata sealed aganist pollution? ❑Yee ❑No It yes, note depth of strata •• <br /> 'on ft. to ft. .. <br /> eth^1 of Sealing Cemenwork started JUne 9 19 80 completed June 9 1g 80 <br />' <br />— t Grout CONTRACTOR'S STATEMENT: <br /> This well was drilled under my jurisdiction and this report is true to the best <br /> I) .ITER LEVEL: 1'f � of my knowledge and belief. <br /> 0) ELL TEST By NAME Clark Well & Equipment Coo , Inc. <br /> ter 'meed G.P.M. Address 2024 East Charter Way <br /> vn down ft <br /> 11— ft. Stockton, California 95205 <br /> ld well <br /> (Signed)— <br /> ipe ire of water Chemical analysis ----- --- <br /> I e tric lop made of well? ❑Yes ❑No 7-1 0 June 11 <br /> License No._ v <br /> Dated ---11 190 <br />