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NOT CHE( <br /> ORIGINAL WATER WELL DRILLERS REPORT Do Not Fg1I Is <br /> File Ori ina[,Duplicate and Tr llcate with the U <br /> Q Ip (Sect soar 707f,7077,7071,Waur Code} N• i <br /> � <br /> 033 <br /> A <br /> Wh ,•' C —/ <br /> REGIONAL WATER POLLUTION State Well S-ZA 4•_- <br /> CONTROL soARp No_ athwalNo STATE OF CALIFORNIA / g� <br /> s <br /> OWNER. (11) WELL LOG: <br /> Name P. D. <br /> Fr a b r e b o a r d Paper Products Ince Total depth 519 it Depth of cosoplrted well It <br /> r <br /> Address „ C. B o X 7 8[n Fermat,on Urrrrrbr byytolor,[hareem,lose of nreenul snd rhrrlrre <br /> Stockton , Calif. <br /> 4 It to 510 ft Cls <br /> 5in 519 Sgjmd <br /> (2) LOCATION OF WELL IP 519 Clay <br /> County .:f1 Joaquin Owner r number if any— Ff .J <br /> R F D or Street No Stockton & Church St. <br /> Stockton Calf, <br /> 3 TYPE OF WORK check) <br /> tiew well ❑ Deepening 19 Reconditioning ❑ Abandon ❑ <br /> If abandowtment describe inaterea!and procedure in Item 17 <br /> (4) PROPOSED USE (check) (5) EQUIPMENT. <br /> Domestic ❑ Industrial ® Municipal ❑ Rotary ❑ <br /> Cable 91 <br /> Irrigation ❑ Test Well ❑ Other ❑ Dug <br /> Dug Well ❑ <br /> (6) CASING INSTALLED. if gravel packed <br /> SINGLE❑ DOUBLE 7 Gauge <br /> Dwmeter from to <br /> From ft to it Dum Wail of San it ft <br /> r _ <br /> T7 pe and rue M shoe or cell ring Size of gravel <br /> Dcsenbe Istat <br /> (7) PERFORATIONS. <br /> Type of perforator used <br /> Size of perforattoaa is Icngth by to <br /> From ft to fi Perf per row Row,per ft - r <br /> w <br /> l � <br /> R" <br /> (S) CONSTRUCTION. ` <br />' Vias a surface sanitary teal provided? Q Yea 0N To what depth ft a r i t <br /> mere any amts sealed agarntt pollution? ❑ Ya © No if yes note depth of strata (: <br /> From rt to it <br /> Method of Sealing Work started ]9 Compleird y r.r, If <br /> (9) WATER LEVELS. WELL DRILLER S STATEMENT <br /> This well was drilled under my]ursidrelion aped lhrs rrporl is line to the brat of <br /> Depth at i,bich water was fiat found S4 It my knowledge and belrrf t- <br /> level Wore perforating it NAME Clark l`e E,1 1 �r 3.113_r o C J. - _ -- - <br /> tg level after perforating it (Psion arm ur aerptrz+iur+I r]fprJ or pr,wudt <br /> Address 2024 E. Charter U y <br /> (10) WELL TESTS: _ St r k ton talrf e <br /> Woe a pump teat made? xI Yes 0 No If yea by whoa? C1 a r k Yr e l l <br /> I l k J 0 [SIGNED) _Yield all/min with Sl ft drsw down Pitot 10 bra WdJ Drrfln <br /> .. <br /> Tirmpenture of rater Woo a <br /> P chemical nwe? ❑ License Na. 76602 <br /> alysis adYes ❑ No Dated � arch 18 a 19 63 <br /> — <br /> VPtr elecrnc tog made of well? Cl Yea (] No <br /> 07025 6 ea sow outN A aro DWR 188 tREV 3 541 <br />