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EQ V iT Clow <br /> Contractor's Report , <br /> t1) OWNIM: [41) WELL LOG: <br /> Flame Tata, doom 215tt. oaoth at =mpkated well 21 ft , <br /> Address 1556 South "B" Street Format,ar: oaarrlb.b►°alar chwuCtar.aim at mataHaf and atraattse <br /> S tocktan California 2fl 0 ft.m 73 <br /> " 63 C la <br /> 6 " 67 " Sand <br /> E21 LOCATION OF WEU- N 2 N claly <br /> cam:v M R _ �n <br /> Srre2 " S <br /> and <br /> 107 12 Y C <br /> 12 1 Sana <br /> 135. o . <br /> ' <br /> —�S 9a - 21 N Sand d: Gra'�►e <br /> (3) TYPE OF WORK (check) Y <br /> Pdow ,well Deepening © Racoadltlattnp p Manila. p " <br /> If abandonment. describe rasom,&I and procedure In Item it <br /> (4) PROPOM USE (check) cs) RaulPlM>E:IIT: Cement plug im this Bottom's <br /> Domestic: g Industrial Q Municipal 0 Rotary J5 N <br /> trrigadan p Test Well p Other p Cade p ' <br /> s N <br /> (6) CASING INSTALLED: If gravel packed " •• <br /> N N <br /> 51t►ple -' w <br /> OMB C' ter oumiefrom to .. .. , <br /> From ft.m K Glom well of born tz fL <br /> +t 21 <br /> —6 M N N Y <br /> N <br /> r N " <br /> Y Y N N <br /> WeklSbae stm Sim of EmI N <br /> Describe N <br /> sy yq`- Iain? <br /> N i1 <br /> (?) PERFORATIONS-. <br /> Type of osrfaracar used <br /> Y .. <br /> 51ze of partaratlona in— lanob by6 tn. <br /> u N <br /> From ft to parf per raw Rwan per tt' N <br /> Q N N ' <br /> N N <br /> Y Y <br /> N I. <br /> (8) CONSTRUCTION: Tat N N <br /> Was • surface sanitary anal provided? Yea HOU depth <br /> O ft <br /> - <br /> Were any str3ia aeelad apanlat pollutlan? pYaa No It yes rata depth at asset N " <br /> From ft to n. <br /> N N Y worst stertad 30 April io 79 Comorated 2 MaY 79, <br /> Method of Sealing Bentonite & Cement Grout eomT 000rs srA7v <br /> This wall w.a dnlled uneer my Iurlsdichan and this moort is true tp 70e ben <br /> of my knowlwCe and belief <br /> tsl WATER LEVEL:t: 80 K NAME Clark Well & Ecuipment Cost Inc. ' <br /> WELL TAT By 24 Eaat Charter Way <br /> Watweo r pumoed G.P.�1 Address 2Q� _. .. ._ <br /> Drawn dawn rt- <br /> Total life to <br /> a CattfUrnt'l 95Z <br /> Ytekd of well <br /> to P Alllilt <br /> HF (Signed) <br /> Tentoarsnue of water cbem,csl analysis <br /> Was a,Ktft sop made of well? 0 Yea 0 No License NO___ Dated _� +a <br />