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PaA l.,r-il=(.iEL1 <br /> WnGINA4 _- WATER WELL DRILLERS REPORT ' Do Not F:il In a <br /> Re Original,Duplicate and Triplicate with the (see:rots.7076,7017,7079 Water Code) N9 24195 <br />' REGIONAL WATER POLLUTION <br /> CONTROL BOARD No_ 5 STATE OF CALIFORNIA +� LA State Well No <br /> (Iesrrf a¢propriefe ssamhrr) < Other Well No—7' <br /> & <br /> -MRNER• (11) WELL LOG: <br />' Name California plater a=aag_00` Total depth we <br /> ft Depth of completed ll ft <br /> Address €y LC Formation Describe by rotor,rbmaeter,&12t of mtr <br /> eial,and slrsrrlun <br /> 0 it re ft Loam <br />' - Sat3 Jose, Calif 2 7 Adobe <br /> (2) LOCATION OF WELL- -s7 1�-} Yellow Sandy ay <br /> Connry owner.atrtssbcr if any— 16 20 Light `u'&old <br /> Son J ' -WR- a Ave- <br /> 20 48 Sand wi th Clay <br /> A.F n ar stret�iln West 5�.de of St�nnysidA Ave_ <br /> 1/2_717_nn1+i--S--of 'Bradford Avant 48 61 Yellin Sandy Gley <br /> --- - 61 71 Sand with Clay <br />' ^T 105 Yellow Clay <br /> ZLO5 120 Sand packed in Clay <br /> 120 140 Yellow Clay <br /> (3) TYPE OF WORK (check): 1W Yellow San. C1 <br />' NewweIl 14 Deepansag ❑ AecandFaonmg ❑ Abandon El .88 214 Sand Gravel & Boulders <br /> 11 rbandanmest,describe material and procedure in Item I l 21A 220 Clay <br /> (4) PROPOSED USE (check) (5) EQUIPMENT: 0 Gravel & Boulders <br /> Domestic ❑ Industrial ❑ Municipal ® Rotary ® Hard Sand & Graved. <br />' Irngauon ❑ Test Well ❑ Other ❑ Cable ❑ 232 260 Coarse Sand <br /> Dug Well ❑ 260 263 Hard Blue Clay <br /> (6) CASING INSTALLED If gravel packed 263 ZZI Coarse Sand <br /> t - $1Nr.1_E 12 DOUBLE❑ - -Gige Z71 - 285 Hite�may._�� <br /> meter from to 29,5 M Inile nand <br /> ei�� r Dia <br /> From Oft to 26 ft 30Dsam 144. V. Of Bare ft it <br /> Q 514• 16 1/!� _._ 36 CI gb 291 . 306 Blue Sandy,..�leY <br /> - 396-- - - 327 Inne aEa d <br /> 30 96 514_ 340 --_va_ - Sand - <br /> 347- 3!4 rt, v - <br /> 1 Type and.rtc of shoe or well nos noM I Sue of gravelrf 8 x 1�� , •-.• <br /> _ 3�a7 1,22' Blue S,nxldy Clay <br /> nuersbe jm.t buttweld 422 X26 Sand ._ <br /> (7) PERFORATIONS- 426---- 428 Clay,,. - <br />' TTpe of perforator used Facto= LOu irp, <br /> _ _ <br /> 428 433 Sand <br /> San �ClaStreakB <br /> Size aEeforanna 2 sa length by 1�alo 33 G18Y <br /> Fm-202f,_- A,90 <br /> ft _211- Perf per row Reml per ft 448 4 57 Smil <br /> 457-- -4.74 E-1,-jE 3_and v C ey <br />' 4711- 57-7 Blye„sri,halm <br /> , <br /> (8) CONSTRUCTION -F=- - <br /> rC <br /> Wm <br /> Was a.—face satacT seal pronded? 1$Ye. E] N. To wirer depth 96 ft l., ` .0 <br />' Were any strata sealed igumt polluttm? ❑Yes 3K No If yes,nom depth of strata 7 ! <br /> From ft to ft �l+fs #`iP[rs0at of t i�l� ( _A <br /> Method of Sealing Work.tarred Jan. 22 1957 Completed Mare h 18� 19 57 <br /> (9) WATER LEVELS- WELL DRILLER'S STATEMENT �, <br /> Thu well was drilled under my Iurirdicirars and tbrs report is true to the best of <br /> Depth or wbtch water vat first found TlOL 8,'tTaila.I'1le_ --_ _ft my knowledge and belief <br />' <br /> Srand.ng level before pecforsttog fl q It NAME. 1 MILLING Co L ievel ifeer perforating It ft il'e on firm or tarpctanoul 1Typed ar p.....dj - <br /> Address P, 0.rs�X 47 <br /> (10) NVELL TESTS <br /> Wu a pmtrp test made! Im Yes ❑No If qes by whom? drJ_Uer , <br /> Ymld 28� al sma wuh ft draw down <br /> afar 3 2 Ars [SIG?SED] <br /> "`•"c g / �,- --------— a�'�� /� Wed!Dniirr <br /> ^� o _ _Y Dated <br /> Temperature of tratrr Was a eSremwsl aaaly us-*do? ❑ Ya I$Ne License INTO <br /> Y'.s eleetr:e Ing made of well? EXYes ❑ No 95609 3��4 SGM OV3N O SAO DWR FORM No 246 (REV 3 541 <br /> 4 <br />