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L-A`-T,i(itN NOT L"HEC;. <br /> Of1tNGINAL WATER WELL DRILLERS REEPORT � Do Nat Fill In j <br /> file Ortglnalr Dalilkate and Trlplkale xllh the (Stetiaas 1076,10771 7071,Water code) l'�Q 78038 <br /> 1 <br /> ' REGIONAL WATER POLLUTIONSTATE OFCALit='QRPFIA1J ,� SutevemNo..^. <br /> -CONTROL BOARD No-.� <br /> IVT <br /> re epjnopr)eer number) <br /> ' ( ) OWNER: (II) WELL LOG: <br /> Name Stockton Unified School Dist. T6121 d.14 530 Ft. Depth ofeomprettdvdl fr. <br /> Address 701 N. Madison St. Fo=rnadonr Dnrrfbe by color,ekirarin,tfae of mn1erJaI.4red shvrlurr. <br /> ' Stoaktan , Calif, 95202 ft.to It. <br /> Well a Placed at t <br /> (2) LOCATION OF WELL: locatifts.--- - _ <br /> ' county San Joaquin Owners number,if Any-- <br /> Aeet r P.D.or Stem Na <br /> Franklin High School 161 t 11 <br /> We].1_ in front l]'1= building - t It 12 lI <br /> t re ^ t i nit <br /> �(Lr 11 " t n <br /> (3) TYPE OF WORK (check): 1 rt ' 14 n <br /> ' New well © Deepening ❑ Reconditioning at Ah dan © 1 to 506t 11 <br /> if ahandonmeni,detcribe material and procedure it;Item 11. 141; " 'All <br /> (4) PROPOSED USE (rrheck): (5)' EQUIPMENT,ENT: t atr "j,, 524 f � ?� <br /> Domestic W Industrial ❑ Municipal ❑ Rotary <br /> Irrigation Q Test Well ❑ Other ❑ Cable <br /> aa i Well <br /> Dug ❑ <br /> (6) CASING INSTALLED: If gravel packed <br /> ' SINGLE® DOUBLE[2 Grge <br /> or 1?irmeeer from ra <br /> From ft w it. Di:m. W I of Bare ft. ft. „ <br /> 217]" 530 5/6 „ <br /> Type and stze of shoe or well ring size of travel( <br /> Uuarlbe joint l d e d <br /> (7) PERFORATIONS: <br /> ' Type of perforator wad W P,1;1 agrQens „ <br /> Size of perforations in.,leogth•by <br /> From It,to it. perf,per row Rows per ft. <br /> (a) CONSTRUCTION: ; <br /> Was a rurfrce sanitue)•teat provided) ❑Yet ONO To what.depth ft. F• - <br /> 1 <br /> Vera any strata reeled asaiatt pollationt ❑'Yu Q No 1f yet note depth aE+freta <br /> From ft.to ft. <br /> ' Method of Sealing -. W-k ctsrted Cl F; a 19. 64-- Compiered Q e c. 31 14"64 <br /> (9) WATER LEVELS: WALL DRILLER'S STATEMENT: <br /> 7'hfs well was drilled under my jurisdiction and ibis report fs true to the best of <br /> Depth At which water was first found 72 ft, my knowledgr and Wief. <br /> rl,;, <br /> ol Sevel before perfarsting fc, <br /> 1VAMl Clark Well prillzn Cr, <br /> ng levelaftee perfaasting tit. (person,firm•or corperxtion) ITybrd or prl»led) <br /> Address 2€}24 E. Charter Way <br /> ) WELL TESTS: Stock( n 6F�- Calif 0pomptutmade) ❑Yes ©No Jfyes,bywham? //J e:l•/shin.with Ea.draw down xfter hr+. [$1GNRD]. ... -- ...... .-�—"–'+��.-�� ...–.–._._. „.._.�„,.,_........._ <br /> �. Trig Drel)rr e C <br /> Ttmperstttre ai water Was r ahemical anstrtis made? [1 Yes ER No cense 76602 <br /> 2 Dated Jan_-------- <br /> 8 5 <br /> 39 U <br /> ' 1t'ar dtctric lox made of well} 0Ytt [2CNo LiNn. <br /> ,102e a-ar sox cora ' sro AINR 1 •r �� Al <br />