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TYPE OF WORK (check) <br />New well 12 Deepening 0 Reconditioning 0 <br />If abandonment, describe material and procedure in Item 11. <br />Abandon 0 <br />(5) EQUIPMENT: <br />Rotary R'j <br />Cable 0 <br />PROPOSED USE (check) r.,onitor <br />Domestic 0 industrial 0 Municipal 0 <br />Irrigation 0 Test Well 0 Other 53 <br />Size of gravel: "21" Well.Shoe size None <br />Describe Joint Welded <br />(9) WATER LEVEL: 9 ft. <br />Yield of well <br />H.P. <br />Temperatureof water Chemical analysis <br />Was electric log made of well? 0 Yes 0 No <br />G.P.M./ft. <br />(2) LOCATION OF WEk.I.: <br />co.tySan Joaquin <br />Street No. <br />Owner's No. SIte #8 A. <br />CLARK WELL & EQUIPMENT CO. pw8 76, <br />Contractor's Report <br />`11 OWNER: <br />..ume ccrident21 Chemical Company <br />Address 16777 Sovft llowland Road <br />CASING INSTALLED: <br />Single m Double 0 Gage <br />or <br />From ft. to ft. Diem. Wall <br />+19 - 12" til2 <br />+1i' 68' 6 5/8" i1.2 <br />73' 76' 6 5/8" '112 <br />PERFORATIONS: None <br />Method of Sealing Cement Grout <br />(10) WELL TEST By <br />Water pumped G.P.M. <br />in down ft. <br />lift ft. <br />It. <br />(11) WELL LOG: <br />Total depth 80 ft. Depth of completed well 76 <br />Formation: Describe by color, character, size of material. nnd smcture. <br />License No 371560 Dated June 30 SO _ 19 . <br />0 ft. to2 ft. Soil <br />2 "7 Fill <br />7 " 10 Sand <br />10 <br />15 <br />Clay <br />15 " 27 <br />AB Sand <br />27 " 45 <br />64 Clay <br />45 " 80 Sand <br />IS <br />44 <br />•• <br />sa <br />11 <br />IS <br />.1 <br />A. <br />.0 <br />.6 <br />Work ,fitruci June 27 080 Completed June 27,a <br />CONTRACTOR'S STATEMENT: <br />This well was drilled under my jurisdiction and this report is true to the best <br />of my knowledge and belief. <br />NAME C]?I'l 1,1011 Pc”ir=nt Co., Inc. <br />Address 2024 East Charter Way <br />Stockton, California 95205 <br />(Signed).. <br />Type of perforatlor used <br />Size of perforations In., length, by In. <br />From ft. to ft. Perf. Oar row Rows per ft. <br />Johnson Well Screen, 60 Slot, Low <br />Carbon Shaped Wires 68' — 7;' <br />(8) CONSTRUCTION: <br />To what <br />Was a surface sanitary seal provided? Yes No 0 depth 64 ft' <br />Were any strata sealed aganist pollution? 0Yes 0 No If yes, note depth of strata <br />From <br />ft.t0 <br />Lathrop, Californla 95330 <br />If gravel packed <br />Diameter from to <br />of bore ft. ft. <br />12" 0" 76