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CLARK WELL & EQUIPMENT CO. 411,pw/D <br /> Contractor's Report 11 156 <br /> ') OWNER: (11) WELL LOG: <br /> , dme C.aci derital Charni 02-I COMP2=Y Total depth 140 ft. Depth of completed well 138 ft. <br /> Address 1(j jj R nu ht Hnw a;d R cafj Formation: Describe by color, character, size of matorlal, and structure. <br /> Tat nD(-a 1 i-o rn i R 95330 0 ft.to 5 ft. Soil <br /> 5 " 16 clay <br /> (2) LOCATION OF WELL: 16 " 1 " S-sand <br /> County San droagUi n Owner's No. Si b8 10h 1 I, '1 Cla <br /> Street No. 42 S and <br /> 16777 SButh— gwl Rncl -RO-R-d 42 50 „ Clay <br /> La trop, ce l-€area:—ATO 50 8 s and - -- ---- <br /> 86 90 Clay <br /> 90 112 " Sand <br /> (3) TYPE OF WORK (check) 112 127 Clay _ <br /> New well C] Deepening ❑ Reconditioning ❑ Abandon ❑ 1�7 14o Sand <br /> If abandonment, describe material and procedure In Item 11. <br /> (4) PROPOSED USE (check) "I <br /> 140 (5) EQUIPMENT: <br /> Domestic 1`7Industrial E] Municipal ❑ Rotary <br /> Irrigation ❑ Test Well ❑ Other Cable ❑ <br /> (6) CASING INSTALLED: If gravel packed <br /> Single Double ❑ Gage <br /> or Diameter from to <br /> From ft.to ft. Dem. Wall of bore ft- ft. <br /> +1f 13o, 6 5 A tr ='12 .- <br /> 15 1�,� 6��,L N `12 <br /> Well-Shoe size 'lone Size of gravel: of <br /> Describe Joint '41eI dad " <br /> (7) PERFORATIONS: Norte <br /> Type of perforatior used <br /> Size of perforations In., length, by In. <br /> From ft. to ft. Perf. per row Rows per ft. <br /> Johnson 'deli � ^�Qn, 60 Slott Loot <br /> Carbon Shaped wire :130' 135* .. <br /> (8) CONSTRUCTION: <br /> To what <br /> Was a surface sanitary seal provided? ZI Yes No❑ depth ft. " <br /> Were any strata sealed aganist pollutlon7 ❑Yee ❑No If yes, note dept of strata " <br /> From ft. to ft. <br /> Work started T4ay 28 tg Completed ;:Iay 28 1980 <br /> Method of Sealing <br /> _ CONTRACTOR'S STATEMENT: <br /> This well was drilled under my jurisdiction and this report is true to the best <br /> (9) WATER LEVEL: 2 <br /> of my knowledge and belief. <br /> ft. <br /> NAME Clark Well & Equipment Co. p Inc. <br /> (10) WELL TEST By <br /> Water pumped G.P.M. Address 2,024 mast Charter Way <br /> wn down ft. <br /> -.al lift ft. S tockton f, California 95205 <br /> Yield of well G.P.M./ft. <br /> H.P. (Signed) <br /> --------------- <br /> Temperature of water Chemical analysis , [� V <br /> Was electric log made of well? El Yes El No License No. Dated_r_T�.r ?�— 19 p 0 <br />