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Clark Well & Equipment CoJnca Contractor's Report OWNER: an (t1) WELL LOG: Howland larr.. Occidental Chemical Comp 's 16777 South y Total depth 50 ft. Depth of completed well 48 Lathro , Formation: Deicrlba by color, character, alze of material, and structure. p Ca i ornla 0 ft.te 2 n• Soil _ 2b Clay ATION OF WELL: 10 my an Joaquin 10 Owner's Sand PW24 s Ne. 12 Blue CI-ay 'reel 'e. ear Iviendes ITiary West Side an & Gravel „ ay and & Gravel -- 4,7 50 Clay -- - .PE OF WORK (check) I well U Deepening ❑ Reconditioning C1Abandon „ -- abt onment,describe material and procedure In Item tf. O OPOSED USE (check) _amen • ug Ori tne 0 tom. (S) EQUIPMENT: nestic - ❑ Industrial C3Municipal ❑ Rotary 'rig, on ❑ Test Well ❑ Other ❑ Cable p „ taASING INSTALLED: •• — Ie 9 Double ❑ If gravel packed •' •• - Gage _ 'Orn ft.toor Diameter from to •' 1t. Diem. Wall of bore 1 12„ 12 ft. ft. .. tt 0 it 12 •• .. gtt 12 .. •` a slxe •, •' NOn®. Sixe of gravel: "2 " .. !set Ielnt We ld e d PERFORATIONS: " •• perforatlor wed None " of Derforetiona In., length, by In. n h. to h. Perf. „ Per row Rows per ft. • Julinson e screen-�� --mow- i on ape ire : - CONSTRUCTION: ” _i surface sanitary seal provided? ❑Yea No❑ To what depth It ere any strata sealed aganist pollution? ❑Yes ❑No If yes, note depth of strata ft. to ft. „ eth J of Sealin „ work started January fg Completed anuar 9 Cement Grout �;9 CONTRACTOR'S STATEMENT: 1 ITER LEVEL: This well was drilled under my jurisdiction and this report it true to of my knowledge and belief. -' f t. WELL TEST By NAME Clark W,�ll & Equipment Co. , Inc:- imp own G.P.M. Address 024 East Charter Way � own — tal lift ft. _ Of well ft. ock o , Cal nia 95205 G.P.M./It. ^o ,ure of water (Signed). __ __ Chemical analysis •-••-••—' ..... ••--�______-