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tmr. 1AL WATER WELL DRILLERS REPORT Do Not F:11 In <br /> File Original,Duplicate and triplicate with fhe (sections,7076 7077,7078,Water God#) lr�T?. 24195 <br /> REGIONAL IWA.TER pOLLUTIOI`i STATE OF CALtFORNSA State Well No <br /> N - _- <br /> COTROL BOARD No__ __— ���(, �� �� �N <br /> Oshex Well No <br /> !t xtrrr#pproprleN n.m8crl <br /> 7,, NENER (11) WELL LOG <br /> depth <br /> Name California <br /> ali fora a Wal Tout ft Depeh of completed real f <br /> Address V 1 L L1 W Formation Detr rbe by color ch#rower, ,:t o1 wat/ irl 4nd rlraclars <br /> 0 fe to 2 ft Loam <br /> SpA Jose,, 2 7 Adobe <br /> (2) LOCATION OF WELL: 7 1 Yell: Sandy Clay <br /> 16 20 Light Nand <br /> C-ou.t,S n+.era number if a.y- 7-02- 20 4 Sand -. th Clay <br /> R F D or S—Vode. 61 YellaW Sanely Clay <br /> 61. 71 Sand with Gi <br /> 71 105 Yellow Clay <br /> 105 120 Sand eked in Clay <br /> 0 140 Yellow Clay <br /> (3) TYPE OF 'WORK (ebeck)= 140 188 Yellow S!!RGI <br /> blew well 9 Deepening C1nu <br /> Reeondtuolg ❑ Abandon ElSend Gravelt & Boulder's <br /> I j abardoowe„!,describe material and procedure to Ilene 11 214 220 CIM - - - —— <br /> (4) PROPOSED USE (check): (5) EQUIPMENT- 220 230 Gravel & Boulders <br /> Domestic ❑ Industrial ❑ MunICIPal ® Rotary Ei 2110 951 Hard Sand & Gravel <br /> Test Well ❑ Other Cable 2„ 2 260_ Coarse Send <br /> Irrigation <br /> Q Dug Well ❑ 260 263 Hard Blue CLay <br /> If rave! packed263 Z71 Coarse Sand <br /> (6) CASING INSTALLED g !' 273 C <br /> SINGLE M oouLa Ls 71 Gap DFameter from eoTn d <br /> 9b fx ODram 1 ma11 of Hare fe fx 306 M Us, rr acedy Clay <br /> From oft 11Q ni �3 - — <br /> 0 514 16 36 <br /> 30 96 327 --310 M vA 5snay Clay _ <br /> it n 347--- San - — <br /> 3 51 3157 sand _ <br /> y pe and r,ze of,has,or- etre. IlOn$ &22 ue <br /> srZr of anrrl $ % �. 3'-�---.� ' Sandq {;] <br /> gy <br /> D"ertbe Joint buttweld 422-- 426 Sand <br /> Clay - - - <br /> (7) PERFORATIONS. 1,28 433 Sand (Sandy Clay Streaks)- <br /> Type <br /> treaksType of Perforator wed Fag433 l.$Cl ax <br /> S1Ze of prrforatrona 2 <br /> Frown tt t� 140fr 1'rrf Per rov R. pee It t�r7 1.7). intia SanAy Clay - - - - - <br /> rxi.5 <br /> *1� 5l 7 I37 ere S haZ a <br /> (8) CONSTRUCTION. L <br /> 'Yc+ t rwfsce..,j,seal pr.�tdedl Ia Yet ❑ No To what depth 96 ft �- - _ <br /> T-e any First.r..W tpaanst poltutr.o? ❑ Yee IM No if yea note depth of strata <br /> From ft C. ft = <br /> 7 A �,t'�,, y, y r� <br /> Method of Sealing Work rt.rred y m. 2 t9 57 Completed ru�i�rL1 1 t9 51 <br /> 'WELL DRILLER S ST 4TVvIENT <br /> (9) WATER LEVELS: This well war drZIltd under tray Jurisdiction and this report a true to the best of <br /> Depeh ar wh,ch rater ran first found ft my k7owledge and belrej <br /> dm.le'd before pereorat,.. T{ ft NAME <br /> Ir llr,non firm o wrperae-1s 1 13 yyrd os pr,xulJ <br /> ,¢a c.el aster pelf orae,.. ■ P. O. <br /> Address <br /> (I O) WELL TESTS <br /> 7Psa a pump ant midi! XI Yd C3740 If y.e by+home dri1leYe � - - <br /> [$1GHEf1i <br /> Y•;d .sl/m,u wish IF dra+down after hie / aa� Welt Duller y�7+ -1 <br /> 57 <br /> Trrnperatnrr of.,err Was a cht-."l analy+,r meds? ❑ Yet QNO License No � l0� _ Dated ��'^� 1'� ' 19 <br /> rlrnt�c ion m.le <br /> 2a6 tREV 3 3A1 <br /> of�rSS} �Yte ❑ No 9et,eo r s,r e7M auiN` neo DWR FORM NO <br />