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CLARK WELL A EQUIPMENT CIO _ <br /> Contractors Report <br /> 3 <br /> 't; OWNER: - (11) WELL LOG: <br /> ten.9 <br /> Total depth 7 S' k. Depth of completed wall <br /> Address 'f 67. Snnth_ m2 anA Rn� 3 h <br /> d Formation: Describs by color,character,size of mamrial.and structure. <br /> TA thrnt� ra i f nrrt�s q�,�"3�— k.m k, <br /> (2) LOCATION OF WELL: 14 .. <br /> Cot, r Q}an TAAnTti n Owner's No Q ♦pjj2_ ?a A ,. <br /> re No. <br /> 9 Gann <br /> �1 70 Stanri <br /> 10 ;: 75 rlfay — <br /> t3) TYPE OF WORK (check) " <br /> Nor veil Deepening ❑ Reconditioning Abandon .. „ <br /> al.-.idonment.describe materiel and procedure In Item 11. ❑ ❑ " <br /> ,) PROPOSED USE (check) „ 0M17�0 (5) EQUIPMENT: <br /> dol Stic ❑ Industrial IcIpa5 " •,• <br /> ❑ Rotary „ <br /> riI tion ❑ Test Well ❑ Other (k Cable ❑ �• <br /> ,r) BASING INSTALLED: <br /> '• <br /> ilnq (I Double Gs " <br /> om m bore k. k. Dlam. Wall If gravel packed <br /> of bofrom 10 „ ,• <br /> k. }t• •• N <br /> Z~ Ott 9 t 7 n A '711 <br /> KT '• N " <br /> -6��L8"" fir`i 2 .. - N <br /> 7',�'—_� L8—,`2 2 •• .. <br /> '-VII Toe site Size of .ravel w2Z~ •� N <br /> scribe joint _ we l A eA •� �• <br /> 7) ERFORATIONS: <br /> None '• �• <br /> is of Perforatlor used „ <br /> N <br /> 'e of perforations In.. length, b <br /> In. <br /> roc Pert. per row Rows Per ft. •• <br /> �hn a nn Wa i T ^ra an- (_p S 1 n+ 7 nm " •• <br /> nn S�+a�aA rttiro . �K• 70t .. .. <br /> 1) )INSTRUCTION: " <br /> t a surface sanitaryseal To what " '• <br /> P►ovldad7 Yes No❑ depth 6f k •• „ <br /> e ry :Neta seeded a.anlst pollution? ❑Yes ❑No it yes,note depth of strata .. „ <br /> 'on k. to k. .. ,. <br /> N N „ <br /> Work a�.Tiln A 9 19 n Completed f unQ 9 <br /> th��i of Sealing Cement rout 19 80 <br /> CONTRACTOR'S STATEMENT: <br /> This well was drilled under my jurisdiction and this report e <br /> I) WATER LEVEL: 1 of my knowledge and belief. is true to thbast <br /> tt <br /> ) ,ELL TEST BY NAME Clark WAll & E uinment Co e , Inc a <br /> ter ..imped G.P.M. Address 2024 East Charter Way <br /> m down <br /> well <br /> tt Stockton California 20 <br /> _ <br /> e ire of water (Signed) <br /> Chemical analysis <br /> e trlc lo9 made of well? C]Yes ❑No <br /> License No.-37-1-ILO__Dated Jun@ 11 <br />