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IRK WELL & EQUMP i CO. <br /> Contractor's Report <br /> O> NER (11) WELL LOG 4 <br /> Name Qhwzter Way Mobile HomeTotal depth 2Jft. Depth of completed wall `e�b ft <br /> Address 1550-South -Bw ,Street Formation Doocrlbe by color character,nize of matorlal, and atnrcture <br /> —5-1—ock-%=6 California 95205 0 ft to 3 ft. Soil <br /> 6 Clay <br /> (Z) LOCATION OF WELL• <br /> 6 ,. .. sand --- <br /> C-tp_„SaLn Jann in Owner's No T 92 T Clay <br /> "kms' --- - --- <br /> Street No isO SOuf- IB1' Street; _ 92 107 " Sand <br /> A,5205 107 12,5 Clay- <br /> 125 <br /> a <br /> 125 135 " _ Sand _ <br /> 135 190 " Cis <br /> Igo _ 215 '�' Send a Gravel <br /> (3) TYPE OF WORK (check) •. — --New well X) Deepening 0 Reaonditlaning ❑ Abandon ❑ " <br /> It abandonment daacrlbe material and procadurs in Item 11 " <br /> (a) PROPOSED USE (check) (S) EQUIPMENT Cement P ug In e Bottomo <br /> Domestic Industrial 0 Municipal ❑ Rotary � •• <br /> Irrigation p Test Well ❑ Other p Cable ❑ " •• <br /> (6) CASING INSTALLED: ,. <br /> If gravel paeieaei <br /> Single,p Double *• •• <br /> Di <br /> From ft_to ft Diem Wall ofaboremeter frfL om Int <br /> 4j 6 Vat, Vi 2 <br /> wall-Shoe aim Wonip Size of gravel <br /> Describe joint We)eqeB <br /> (7) PERFORATIOMS. •' •• <br /> ., <br /> Type of perfarador used d <br /> Size of Parforatlonao ---In. length, by p In •' „ <br /> From ft to fL Perf per row Rows per ft •' <br /> 0 215 <br /> .. .. <br /> N <br /> (8) CONSTRUCTION: •• .. <br /> To what � <br /> Was a surface sanitary seal provlded7 Yes No© depth 50 it <br /> Fero ally strata sealed aganiet pallutlonT QYea]a No It yea note depth of dreta " <br /> From ft to ft •' •• <br /> `• " work started 30 April plated 2 Ma . 1s} <br /> ethod of Sealing Bentonite & Cement Grout — <br /> CClf1T1tACTOR SSTATEMENT <br /> This well was drilled under my Eurgdpchon and this report is true to the best <br /> (g) WATER LEVEL E0 of my know doe and belief <br /> n <br /> E10) WELL TEST By <br /> NAME Clark Well. & E ui. ent Co. a Ince <br /> pumped G? •M Address _202 East Charter Way <br /> dawn fL – <br /> otal I lft ft <br /> laid of wall T,pStockton, <br /> Catiforniz 95205 <br /> NP (Signed)— _- -- <br /> smperahkp of water Chemical analysis <br /> as electric log made of well? 0 Yeo [3 No License No Dated f a <br />