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LOCATION NOT C>JfCKEC <br /> Do Not Fill In <br /> 'WATER WELL DRILLERS REPORT <br /> Fda Original,Duplicate anO Triplicate vllth the (seottons 7076,7017,7010,Wat-t Cada)G-y N0. 0867 <br /> REGIONAL WATER POLLUTION OC / Stategcltl�Iu,_�J_" <br /> CONTROL BOARV THE RESOURCES AGENCY OF CALIFORNIA <br /> ri epproprtare namber) <br /> I <br /> OWNER- p 1 en T <br /> il) WELLLOG <br /> Name Fibreboard 1'a er A dtiu(3t$ veloration otal depth 6 fr Mpth of eompleted well ��� fc <br /> I Address p Q Bpm 780 Formation Describe by color,r6araclrr,are of malrrfal,and slroctssrs <br /> Stocl�toa'z, California 25 <br /> is to 25 ftYalla�v clay <br /> 2 60 Blue Clay <br /> (2) LOCATION OF WELL. 6 1 2 Blue Sandy Clay <br /> �� 122 --__ 12 'Sand with Water <br /> County San tTOt3Q1.11.T1 Oxnersnumber Many— ],2 13 Ver Sandy Blue t`i�a <br /> A ? D or Street Na South side of Stockton Street I 1 54 Be Sand Cla <br /> at the intersection of Church Street 15.4 158 Sand with some: C1a <br /> 18 177 slue Clay <br /> 177 187 Blue Sandy-Olay <br /> 187 188 ' Sand <br /> (3) TYPE OF WORK (checA)• , 188 1 "Sand with Water <br /> Now well Q Y]acQensng © Recandtttomng © Abandon -Blue Sand C]f <br /> I1 abandonmerd,describe material and procedure in Item f] 214 223 -B ue Clay <br /> (}) PROPOSED USE (check): (5) EQUIPMENT 223 233 plup Sandy Clay <br /> I Domestic ❑ Industrial ❑ Municipal ® Cabary ® 6 Gavel with Water <br /> 56 26j. Gravel <br /> Irrigation ❑ Test Well ❑ Other ❑ Dug jelt ❑ 261 267 --Blue Gla <br /> (6) CASING INSTALLM If gravel packed — = "& .-Greek Sandy Clams - <br /> _ 27$ 30Q j 1. „ -Green Clay __ <br /> SINGLE uoulnx❑ cageDtxmecec from to Tine Sand with some Ola <br /> p or <br /> Frorn 0 ft to 63 j D1.fc : D1 «2-9 Wall of Bore ft ft314, ,O Sandy Gila <br /> I <br /> 121 _ -Green Clay <br /> $ Hard Sandy Cla <br /> 35$ _ X61 Fine Sand _ <br /> 361- -18B grow 0 <br /> 9 qAq 3 f;oar s Sand — — —- <br /> 'f ype and size of.hea or wall nag 5/8 x 10 Sae of gPv.ts 41-9 Grean Gley <br /> 391 <br /> tletar.be lamt Butt Weld 4.19 ' Clay <br /> (7) PERFORATIONS _ 435 L4<2 Coarse & Fine Sand with Clay <br /> Mills442 f �s G Gl.a - <br /> Type of parfoixot uud yPLC�Egg syl _ lKnife a <br /> Size of ecforat,oas 2•'1 2 in 1-uh,by - GF in 3 , X60 '[y'�'+e E'B (flay <br /> promMf,pft so 263 is Perf er sox it,ows per it _ 460— 462 San -- <br /> s 391 -Greon Clay <br /> 43 5 Ala- s Sand <br /> —. X0.9 515 487 497 Green 012 539 � <br /> 71 to 607,1 427 506 Blue Sanft,_Dkof <br /> 506 509 Graen 01 ay :1!,,, -f&Z , <br /> (s) CONSTRUCTION. 5Q9 515 Sand <br /> War a su rflce sanitary seal provided? ©Yes 2 No To what depth ft {'YL,8 fan C1a <br /> C7era any strata sealed agatnse pollutiaa? Yea No It yes nose depth of strata 'J7 7 ��7 Sand with some �'i1a Z ,1.� <br /> From ft to ft 3" r6 fixxeen Clay '`i�C- <br /> XL <br /> s COINTI1WED <br /> Method of Sealing Work sucted M ]. <br /> Ch .0 19 65...- (completed 1A ay 19 <br /> (9) WATER LEVELS- WELL', x t <br /> WELL DRILLER'S STATEMENT <br /> This w.11 was drrJled under tray 3urlsdtctdan�rt�d lhta reporf r� tare!o the bell of <br /> Deprh ac which water e.x+Cant found 122 ft my knowledge and belief ?? i <br /> Indiag ltvel bcfw+IIetfannng 76 t Y * it NAME JVG- ZR <br /> STERN MLL DRILLA O , LTD. <br /> IMA )ng level afterIa..Ia...." �>s6� , (Parson firm,or corpatatlan) (Ty(,rd or prinlyd) <br /> ytt t w tr Address P. 0. $OX 47 <br /> (10) WELL TESTS:I t C s Calif. 95103 W sa s pump test mads? Cl Yes QPio 11 yts,by whom? Driller J� <br /> r� <br /> YAdi 0 gal/mar v,tSt ft draw dawn after _ 0-� his Wali Dilflsr 6 <br /> 2 $� June 1 <br /> T.mperatwo of Name Ws+a chamstal analysss made? (]Xes ( Pio License o._,___ .-------... Dated..-.R,�__� --- <br /> W..elaetne log road.of wall? 0 Yrs N No > <br /> 87040 1 61 Xtl17 <br /> M Qu1N©L�FPo Wft 186 (RAY s sat <br />