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LOCATION NOT- CHLCKEC <br /> File Original,Duplicate and TrlAtftale with the 1r <br />' ORIGINAL WATER WELL DRILLERS REPORT Do Not Fill In <br /> REGIONAL NATER. POLLUTION (sect,ens Marc,707r,7071.'pater C"o) �T? 39896 <br />' CONiTROL BOARD No STATE OF CALIFORNIA State Welt No <br /> 'twins appropriate wwawber) Other Quell No <br /> (1) OWNER (1 R) WELL LOG- <br />' Namesi0l3s.ing ,',uthority Of the Count Of Totaldenth <br /> It Depth of completed well it <br /> ess <br /> Addran o a ou�n Format,oza Drrrrlbr by ger,rbsraren aitr o/iwalnLf awl rlrrrJrre <br /> • e OCk OnR a 0 ft to ft Loam <br />' 1 Soft cla <br /> (2) LOCATION OF WELL: 1 Soft blue ala <br /> S n J a o 'n ORLer r dumber .f ser— Soft sn"I"y sandymud <br /> R F D or Street NoA k umn A 2 and <br />' Tn Ca 2 and blue cls <br /> 100 Ula r & shale <br /> 100 10 and & ea ravel <br />' 10 110 andy shale & cls <br /> (3) TYPE OF WORx110 120 and cl a <br /> (check}: 1201 1 %` ai e & ala <br /> New well Deepcmng ❑ Recondinoneng ❑ Abandon ❑ 149 Sand <br />' if abwndo"ment,describe material and procedure in Item 11 $ Gt a <br /> (4) PROPOSED USE (check) (5) EQUIPMENT: <br /> Domestic ® Industrial ❑ Munlclpal ❑ Rotary ❑ <br />' Irngation ❑ Test Well ❑ Other ❑ Cable <br /> DWell ❑ <br /> (6) CASING INSTALLED. If gravel packed <br />' SINGLE(X DOUBLE 71 Gage <br /> Fromor Diameter from to <br /> it to <br /> it Dtam Wall of Bon it it r <br /> �L <br />' .r <br /> Type sed site of aha or well rezag Sue of gravel ti <br /> Detcnbe joint �✓v <br /> I (7) PERFORATIONS• <br /> Tyre of perforator vaed Shop <br /> cut <br /> Size of perforattono 118tau,ionorth,b <br /> From ft to ft Peri per row PLO— <br /> per ft <br /> 131 <br /> (8) CONSTRUCTION: <br /> Was a surface sanitary teal Provided? M Ya ❑ No To whar depth $O it •��Uetl� ' 1~ r <br /> ®ere azar strata waled atunat pollution? ❑ Ya ❑ No If yen,note depth of strata <br /> F <br /> it to <br /> ft <br /> I Method of Seating <br /> Work stared Feb a_-4 _ 195 C'OtOp� �e�e��a r.5 <br /> (9) WATER LEVELS: WELL DRILLER'S STATEMENT <br /> Depth at wheel,rater was set lorzad $ This well war draped warder my 1—ridtcttoe and this report is trite to the beat of <br /> It my knowledge and belief <br /> d-ng level before perforating ft <br /> NAME Clark 1%7Q1-1 D, yne -Co. <br /> Ing level sftaz peefonting - <br /> !Person firm or eermtation) I TYArl or P"Wed) <br /> IAddress 2024 T Charter Way <br /> (Io) WELL TESTS: Stockton 6, Calif. <br /> pea■pump tort made? Q.yes [3N& If yu by whoa? Coot ractor jOf <br /> sidles gal/talo with it draw down after a hra IS?GNED1_�L <br /> I 660 z _ 4etr Drl$n n <br /> Trmperatnre of tater tVaa■chemical aaalyaea made! � Yes ❑ No 7 Dated_ ���Q�S <br /> License No.— <br /> Vag <br /> �'u elactrie log made at well? ❑ Y. �Ne *son*s as sole ouiw Q sro <br /> CWR FORM No 2A cRiv 3 54t <br />