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..A i FCIh ',o-)T GHt t'KF <br /> t,RlGlfy= WATER WELL DRILLERS REPORT Do Not Fill In-3 <br /> he Brig nai,Duplicate and Triplicate with the (Sactrooa 7074,7077,7079,Water Cede) �Q 39885 <br /> 9 <br /> REGIONAL WATER POLLUTION <br /> CONTROL BOARD No STATE OF CALIFORNIA State Well No <br /> tresevl eyjro}rlale sweet O <br /> d( ) OWNER (I I) WELL LOG <br /> ame Best Fertilizer Total depth 330 It Depth of completed well 26it <br /> Address P.O. B oX 19$ Formatton Drrrrlbe b�Sa'or eb.r.rin,rru ofw.rrr!■J coal rrrorrrrr <br /> Lath 0 ft =° oU ft TLI••l <br /> 12 Sana <br /> (2) LOCATION OF WELL 1.2 24 Soft C;2 <br /> Conary San Joa u7.n owner f number,tf any-- 24 30 Coarse sand <br /> R F D or Street No 3Q 38 Soft cls <br /> Sece 35 RbE 115 8 86 Coarse sand <br /> — <br /> 86 2 Cla <br /> 92 10 Coarse sand <br /> 104 130 Soft sandy <br /> Coarse sand cls <br /> (3) TYPE OF WORK {check}: 130 133$ Soft els - <br /> New well [X Deepentng ElReeondsnonmg 1:1Abandon E) - 133 .14Hard els <br /> if abandonment,describe materna!and procedure in item 11 Caving clay <br /> (4) PROPOSED USE (check) (5) EQUIPMENT. 164 170 Hard cls <br /> Domestic ❑ Industrial ® Municipal ❑ Rotary ❑ 80 Hard cls <br /> Irrigation ❑ Test Well ❑ Other ❑ Cable [ Soft clay <br /> Dug Well ❑ 2QQ 216 Caving els <br /> (6) CASING INSTALLED If gravel packed Hard clay <br /> SINGLE ❑ DOUBLE Ga 230 270 Had cls <br /> Diameter from to o ��{� Tu�.� '�] <br /> From <br /> or of Bore it it 270 300 --lay <br /> ft to ft Dram Wall <br /> 0 2shale <br /> _306 322Bl un clay <br /> 322 324 Sand <br /> -124— 330 Clay <br /> Type tad size of shoe or well rInE x $ Size of travek <br /> Deacnbeloaat Welded <br /> (7) PERFORATIONS <br /> Type of perforator,teed T <br /> Sue of perforattont 3/16- rn,length bT )l to <br /> From it to ft Pert per roe R°ws <br /> per it <br /> 0 <br /> 140 <br /> C O F I rm T r <br /> n — <br /> r <br /> (a) CONSTRUCTION: - <br /> WSJ a surface sacrtary teal provided? ❑ Yea �XNo To what depth it <br /> Win say strata soiled agatnat pollunon? ❑ Yea CClo If yet,cote depth of egrets <br /> From I[ to <br /> rt <br /> Method of Sealing merit.t■rtes 19 Completed 2/19 57 19 <br /> (9) WATER LEVELS. WELL DRILLER S STATEMENT <br /> Depth at which.ager was greet tnvad 10 It TLts well was drilled under my jurisdiction and this report is true to the best of <br /> my knowledge and belief <br /> tit level before ps for.t.nS ft NAME Clark Well Drilling C o, <br /> dial Leval after Perforatma <br /> it (r son firm Lar c rperanunr rTyl,d or Dr+•!rh <br /> o)0WELL T Addre,s -2021. E. Charter Way <br /> ESTS• n -- <br /> 11 <br /> WE'a Pomp Last We'd.?e? 6 Yes ❑ No If yu,by whoa? P• •�• <br /> i <br /> Yields 220 ltai/rwn with It draw down after lin [SsaNxD] .,.. Well nisi �"`-- <br /> remperatnre of water Vraa a chemical analysis made? ❑ Yet ❑ Netr�7y�LL LL <br /> License No...J 573.].2 _ Dated _4/30/57 . 19— <br /> Was <br /> 19_Was eltetr'r 10it made Of wells ❑ Yes 0 No saws a as$ON ou IN(2)aro DWR Foam No 248 f RiV 3 541 <br />