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.; � �,q .c � ,�1� t.�t -�_�t It:-�� l�..s k t.� M<It ars WATER WELL DRILLERS REPORT Do Not Fill In f7 D OriglAL h.NU Q eq)31 A-IT lrFlla Ilrfplaal,ltupllcate and Triplltate:villi ifae (stotlanr torr,son,core,man:cad+) , 1 REGIONAL WATER poLLUTIOIV statawellIQo�i\i �� 1_ STATE OF , ^ONTROL BOARD No 5 CALIFORNIA, Toeher wen No___-.-Aifilrrl approprtrle number) OWNER: (11) WELL LOG: Name CaIj forn3.a slater Serv3.Cc3 Coqpany CompanyTata!depth 500 ft Depth of completed wdl 500 fz Address 1720 North First Street Porganan vt:ribe by color,cberceter,rim of matertrl sad arxclisre San Jose California 0 it 2 ft_ to�a_Soi1 - s 16 llou Clay (2) WFATION OF "WELL: 16 ?A saryndy' clay -- conoty I owntr't cumber,if any--1-2. STIC 21k 30 Ylor 01 BY R P D °rstre.erleStorkton Area. cq. Cid p1;1:raises. 60 _3P___ 81 brown ,clay 01 RO BRly clay ast a ' s 3 - — ^106 llow c St and 60t east from shed in yzad. io6 _ 112 Brom clay _ 119 2 sandy-ala 132 i39 sand so11ff3 Mater (3) TYPE OF WORK (check)-. bxan+n 0-1-11 New well 11 Deepening ❑ Rcconditmaing ❑ A6andon ❑ 1(51 159 blue smd7 clay --- 1f abandonment,decribe ma rrsaWnd prdeedsire In lit 11 _I 59 _ laa hard blue Cl_M — (4) PROPOSED USE (check)' (5) EQUIPMENT: - 1-98, 205 sand soft 0 Domestic ❑ industrial [] Municipal 9l Rotary ❑ tWit dy c1a Cable blue Play IrrigationE] Test Nell [3 Other ❑ Du Well ❑ 23�t 23`� bltls clams, sandy - — (6) CASING INSTALLED: It gravel packed 237 __.__,._ +� Clay and pea gravol mea navel and Racked sand SINciLL ] pf)UBL ] Gala Diameter from to 260 277 b3.uC cla °c of Hone ft Ic - - FromGi, to 00 it Dlam 0 Tal blue send 0 50 20 4Il —292 322 blue 01AY - �^ ,. 3 2Z �32$ soarso_ sand- 338 and -3313 blue a_1�� _33$ 311.5 ppmft 345 3.63 aand andpea gravel - Typ+grid me of shoe o�rwall lung) fa 11xiI1 Ssze of Erawelr r 3 979 LL Sts.ck Cls`1 DescribeIomt t+lelded _k9 385 a nd and pga gra-vel ( ) PERFOR7 ATILONS' 395 3$7 sandy clan _ _387 3.92 - said aj _pga gravel Tiger of psrforamr used �I�Td211 t o —392 397 blue Clay S1Ze ofpatf°rakIook 211 to 61fin lan tk 2 1a _392 Sind -- FroIIn1 t to k Peel pct row Raw.per it. ...J L�'�6 --- b2_116 tS icl�y C+L•;y 3'79 3 5 > ...o6 42A sand md ea gravel 392 1&26 11,35 b sticlor el 2 � o an nea aravel 435 09 458 o btu 441 445 s M,,a 9A ave (S) CONSTRUCTION: 1 $ lig D-0 w,a turftce nssltarY snl presided?,XM Yes 0 N T°what depth 50 it 445 T'4581,.611. SanahQ Were any strata sealed against pollurioai V Yn Ci No It yew,nota dWh of strata .,,.. b1uC k 477 �T— From ft to ft e't 90 bluf3 0 500 blue clay Method of Sealing Cemented Mork scatted Jan. 2 .19&5Completed C s (9) WATER LEVELS- WELL DRILLERS STATEMENT This well w -filled under my prlsdletion and this report Is true to the best of f)egth at which water was first I—ad 13 2P fr my know t sand of rands9=ler beforepexforsung ft N1y [j L. 14 PL rap and ''q ll GO• I kfter parforatins It 1745 seri ABt {�ot Isis ! irYbed or printed) MW1 A dies+ 1 [1 (I Q WELL T 5- � tSilSit Cl d� �'i s V.,.pump test made! ffYet Q No Ef Yet,by wkoml !,'J&/Al Yields a Ral Morn with fr dins dowA ufrar 1tn IQATEU]_,�.T a lJR1f r -r.tnvarawre sd aster Wer a chemical avalyair made} [}Yea �fl° 1-tCCnse v-..-----� 48 •- -- T}+ted_ _t�l�,l --lam. ...14�,,, _ Mat electric iefi made of will! ❑Yks o y 1705E 6 97 aObt gIJIH A app oWR 18fi [ARV a aA) 1 !