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CLARK� Q <br /> ELL & E MPMENT C•. <br /> Contractor's Report f <br /> '1) WNER: (11) WELL LOG: <br /> Cecident8l Chemical Camp3nyTotal depth I1� ft, oep�, �f completed weu 11� ft <br /> kuuress 16777 South Howland Road Formation: Oeacribe by color, character,size of material,and structure. <br /> Lathrop, California 95290 0 ft,to!7 ft. Soil <br /> LOCATION OF WELL: 1� Clog <br /> :oun <br /> 'Ian Joaquin Owner's No. Site #9 —�---ter aSA21d <br /> John Mendes Dair <br /> 22 rl Mir <br /> 17 31 South Howland Road--- <br /> n f J <br /> Lathrop, California 95310 4q Cin C.l.a.ar _ <br /> 77 « Sana <br /> TYPE OF WORK (check) -72 90 ,• O1 ay <br /> §0_ g4 San <br /> 4aw all Deepening C] Reconditioning C] Abandon ❑ 94 , ' 0 5 ('1 air <br /> I lonment, describe materiel and procedure In Item 11. 10 5 « S and <br /> PROPOSED USE (check) °lonitor (5) EQUIPMENT: <br /> )ort >tic ❑ Industrial ❑ Municipal ❑ Rotary jd 1 ay <br /> r•I^ Ion ❑ Test Well ❑ Other p Cable ❑ <br /> I CASING INSTALLED: '• « <br /> ingi 2 Double C] Gage If gravel packed <br /> or Diameter from to <br /> t t ft,to ft. Diem. Well of bore ft. ft. •• <br /> t <br /> 12" 0 " 1 8" « « <br /> 1 • 110• 8" 012 '� •' « <br /> Mp <br /> .dil• 3e size None Size of gravel "21 " •• '• <br /> I Ibis Joint gelded '• •• <br /> 7) RFORATIONS: None •• <br /> i of perforatior used .. „ <br /> of perforations In., length, by In " <br /> ron ft. to ft. Perf. per row Rows per ft <br /> Johnson 11 Screen, 60 Slot, Low •• '• <br /> 1.. bon Shaj.gd Wire ,t 'I 1 0' - t15, .. •. <br /> lid )NSTRUCTION: <br /> To whet <br /> J. s surface sanitary seal provided? .l Yes No❑ depth Q 6 ft, ., <br /> —y strata sealed agonist pollution? ❑Yes ❑No If yes, note depth of strata •• .• <br /> r ft. to o <br /> • •• " Work started May 1 19 80 Completed May � 19 <br /> 1 led of Sealing (' m n ('r0 1 <br /> - r CONTRACTOR'S STATEMENT: <br /> This well was drilled under my jurisdiction and this report is true to the best <br /> 3) LATER LEVEL: ? k of my knowledge and belief. <br /> I 'ELL TEST 8y NAME Clark Well & Ecuipment Co. , Inc. <br /> ater tmpad G.P.M. Address 2024 East Charter ,lay <br /> -,vn down ft. <br /> well ft. Stockton, California 95205 <br /> G.P.M./ft. <br /> (Signed) <br /> ,�-•ure of water Chemical analysis --- <br /> :trlc log made of well? ❑Yee ❑No License No. 371 560 Dated 2!ay 1 5 �AQ <br /> __. 19_.... .__ <br />