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Clark Well & Equipmellt Co., IncPW 2 <br /> e <br /> Contractor's Report <br /> (1) OWNER: <br /> Nr e Occidental Chemical (t1) WELL LOG: - <br /> Ac ess ou Compan�r <br /> ow an T depth 148 <br /> a r ft. Depth of completed well 148 <br /> ' Formation: Deicrlbe b <br /> O Y color,charaeter,size of material, and structure. <br /> ft.to 3ft. Soil <br /> (2) .00ATIONOF WELL: 3 " C ay <br /> :ounty San Joaaain 2 <br /> Street No. Near Mendes - Ownar,t No. PW24 2 and - <br /> DairyClay <br /> West bide ,. an <br /> 71 <br /> ., aY <br /> 3) YPE OF WORK (check) <br /> ow well Deepening emen <br /> ❑ Raconditlonlnp ❑ U- n e O om. — <br /> f at ionment, descrlba material and proceduro In Item 11, Abandon ❑ <br /> 41 :OPOSED USE (check) <br /> omestic ❑ Industrial (5) EQUIPMENT: " — <br /> ❑ Municipal ❑ Rotary❑ Test Well ❑ Other rY <br /> ❑ Cable ❑ - <br /> _ASING INSTALLED: <br /> gle ® Double ❑ If gravel packed <br /> rOn1 Gave •• <br /> }t.to ft. Dlam. Wail Diameter <br /> _ 1 of bore f��m to12 <br /> ft. <br /> 1 40 6 8" #1 12" 0 .. 1 8 .. <br /> 5/8 <br /> It „1z ;; .. <br /> Ishn� size " <br /> a=ril iolnt Welded size of gravel: "21 rr � <br /> u <br /> PERFORATIONS: <br /> None .. <br /> 011 erforatlor used .. <br /> .e Perforations <br /> n In., length, by " <br /> ft. to k In. <br /> Perf. Per row <br /> _ Rows Por ft. •• <br /> ohnson We Green : �� — w <br /> Arbon ape ire t -- <br /> -ONSTRUCTION: <br /> i face sanitery aeel provided) ❑Yes No❑ To whet •• „ <br /> t an' trata sealed aganls[ ollutlon) depth •• <br /> p It. <br /> ❑Yea ❑No If y depth o�si — <br /> ft. to <br /> ft. <br /> hod ri <br /> Work atartad I " <br /> 19 Completed <br /> ,A__ CONTRACTOR'S STATEMENT: <br /> R LEVEL: This well was drilled <br /> of my knowledge and baliofnder my jurisdiction end this repos is true to the <br /> ft. e+ <br /> ALL TEST By NAME l <br /> ,um-!d ui ment o. <br /> do c_P_M. Address 2 4 East <br /> Hit ft Charter Way <br /> ..If - --- 11. S ckton, <br /> C if <br /> G.P.Mor a 205 <br /> _It. <br /> `tur )f water Chom �Yala ..lcal an I (Signed). _. <br />