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L,�� <br /> c <br /> WELL & EQUIPMENT CO. o <br /> ContractorPs Re ort �A J�7 r <br /> ,,, <br /> ry <br /> OWNER: (11) WELL LOG: <br /> d 9 Occidental Chemical Company Total depth Sg k Depth of completed well 88 ft. <br /> Address 16777 South Howland Road <br /> Lathrop, California 95330 0 Fortnetlon: Ds.crlba by color, character,size of matorlal,and structure.ft til k character, <br /> 4 12 gand <br /> t,) LOCATION OF WELL: I •' <br /> coy-', San Joaaui n owner, No. Site 19 #i d <br /> I No. 45 75 (lay <br /> 75 " 85 Sand <br /> Clay <br /> 44 <br /> TYPE OF WORK (check) • <br /> Na% vall ® Deepening ❑ Reconditioning ❑ Abandon ❑ „ <br /> a idonment. describe material and procedure In Item 11. „ <br /> ) PROPOSED USE (check)Monitor (5) EQUIPMENT: „ •• <br /> Do--)stic ❑ Industrial ❑ Municipal ❑ Rotary „ <br /> I tion ❑ Test Well ❑ Other Cable ❑ <br /> CASING INSTALLED: <br /> If gravel packed " <br /> Sint Double ❑ Gage „ <br /> ),,, ft.to ft. Dlam. Wall of borer from to " <br /> 3' 12" =4'1 2 <br /> N „ <br /> ti , " .. .. <br /> •• N <br /> 1 ' 88, 6 5 8" #12 <br /> Nal hoe size None I Size of gravel: "21" • „ <br /> cribs joint Welded „ <br /> (7) ERFORATIONS: None <br /> P of perforatlor used „ <br /> e of perforations In., length, by In .. „ <br /> =r0 ft. to ft. Pert. per row Rows per k. •• <br /> Johnson Well Screen, 0 S ot. Low '• N <br /> bon Shaped Wire : 809 <br /> 8) ONSTRUCTION: <br /> a surface sanitary seal provided? n Yea No deTop <br /> ❑ �hat •. ;; <br /> 76 ft <br /> B any strata sealed aganist pollution? ❑Yea ❑No It yea,note depth of strata •• „ <br /> TO-1 ft. to <br /> Work sorted Parch 9 19$1 Completed <br /> hod of Sealing Cement Grout I'�r"*'^h R 19g+ <br /> CONTRACTOR'S STATEMENT: <br /> This well was drilled under my ivrisdiction and this report is true to the bast <br /> 9) 'ATER LEVEL: of my knowledge and belief. <br /> ft. <br /> VELL TEST By NAME Clark well & Fa t;DmPnt <br /> Ate Lumped <br /> •'n down G.P.M. Address 2024 <br /> East Charter Way <br /> ft. <br /> k <br /> well k• Stockton, ralif <br /> P._ <br /> G.P.M./ft. <br /> erasure of water Chemical analysis (Signed) _ <br /> �ctrlc log made of wen? ❑Yes ❑No License No.. 371 560 <br /> Dated_ q�ar-ah__Q_-, <br />