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ORIGINAL WATER WELL DRILLERS REPORT no Ho18704 <br /> t Fill is <br /> File Orlpinal,Dapiitale and Triplicate wnh the (s•eneaa lord 7077,707$ wstar Code) N? 18 i O 4 <br /> REGI024AL WAtXR POLLUTION <br /> .� State Wel!No <br /> CONTROL BOARD No5�`` O STATE OF CALIFORNIA <br /> {Ine*r ejt pro}rlatr w.ashrr) t'�r `� Oilier"well No <br /> OWNER- p l (1I) WELL LOG: <br /> me TrunlAr r6,` � � Tota1 dcptb It Depth of completed veli <br /> Address Cherokee Rd. & 99 Hi hwa ' <br /> �./� Formsc,ea pnrrrbr 7015,7,r6erarin,nzr o wrlr+rd en1 lrrrrlrrr <br /> Stockton, ali • r � it [o It <br /> (2) LOCATION OF WELL <br /> R F D or Street leo <br /> Y ^7?2 _..�a S a nrI — <br /> 99 92 S O f't- Ci2y <br /> Nest of qzj Highimy <br /> —225 It. "orthof Cherokee Rd. 99...-1,--So <br /> (3) TYPE OF WORK (cbeck) z - Snit clay <br /> _ <br /> New well 9 Deepcatng ❑ Reeondrvonmg El Abandon El <br /> it•bexdorrmrnt,drrcrsbr risatnsal and procedure in limn 11 3a 9 3z 24 Clay <br /> 3:2l_ 129 -q and <br /> (4) PROPOSED USE (check) (5) EQUIPMENT 3:29 nes. <br /> Domestic [ IndUStrl21 ❑ Municipal ElRot2rr ❑ <br /> Irngat(on ❑ Test Well ❑ Other ❑ Cable 12 <br /> Dug Well ❑ <br /> (6) CASING INSTALLED If gravel packed <br /> SINGLE [:�C DOUBLE _ G:rt <br /> o Demeter f am to <br /> From ft to ft Dram X'all of Bore ft ft <br /> 20 10 12 <br /> Type sad a,me of[hoe or well r,aa— x 4 Sus of Era�d <br /> Daenbe ioant el de <br /> (7) PERFORATIONS 7 <br /> Typt of perforator wed None <br /> Sue of perforat,o.e 1a length by in. <br /> From ft 1. ft perf per To. RDwa per ft <br /> (8) CONSTRUCTION <br /> ma•a—flee saa,ury teal prer,ded) ❑ Ya [ N. To-het deprh ft <br /> mere lay strati sealed r6uar[pollunoa) ❑ Ya RNo 1f Yn Dore depth of rrsau ----._ --- -- <br /> From ft To ft - <br /> Method of Sealing work turted 77-17/54 19 Cotaplated 7119 54- i9 <br /> (9) WATER LEVELS. WELL DRILLER'S STATEMENT <br /> Thu urll was drxllyd under m3 lurndir ion and Ibis report is frier to for bel( of <br /> Depth at which+etre rat first fonad 7t my knowledge oriel belief <br /> Amad-t 1-0 helorc perforatrat ft NAME Clark Well. Drilling C o. <br /> 9 I"el sftet per[orawxyi ft (pawn firm or eormrauur r ,7 y pre m tr+*rri) <br /> W <br /> ) <br /> t Addrel: <br /> (10) WELL TESTS: stocktcplif <br /> •'at a pump tut made) ❑ Yn ❑ No If yet by-hemi <br /> Ycaldi gel/=& -tth ft dra- dexo after hra ISIGNED] [[ —^'� �� f Wrll DrlNrr— _—_--------Tampwoture of weer wls a chea+wa aaslrns medal ❑ Yu ❑ No License No...7.L]602—_ Dazed_ 8/18/5-p 1 I9 <br /> VM alenrre lea mxde of wall) 0 Y. 0 No '5661 a ee $ou Qum Q see DWR FoFtM No 246 c#eV 3 %41 <br />