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r <br /> Division of Resources Planning <br /> Water Well Construction and Sanitary Surve <br /> ���0' <br /> State No, PS 5E 21 M.D. County S Y <br /> S. J. CO. WELL SIDS. San Joaquin Valley <br /> Investigation G.W. Basin <br /> Region U.S.G.S. Quad Scale <br /> Owner City of Traces Address City Hall <br /> Location <br /> Use Municipal Depth 880 D3-ameter Method of RotaryGravel_ <br /> const. Packed <br /> 1. Distance from contamination none Log Source <br /> Source <br /> Drainage toward casing Log no Source <br /> away <br /> subject to flooding Casing type <br /> well pit Casing seat <br /> 3. Type of platform wood Casing depth <br /> concrete <br /> metal Type joint <br /> pump mounted on casing <br /> not on casing Annular seals Depth <br /> 4. Hei-ght of casing ? Conductor pipe Depth <br /> above ground surface <br /> Casing Reduction <br /> 5. Seal between casing <br /> and platform yes Perforations type <br /> b. Seal between pump base- Yes Remarks <br /> and platform <br /> 7. Seal between casing <br /> and down pipe <br /> (pump off-set) -- <br /> Mineral Analysis <br /> $, Well vent � no 1f s o, Date <br /> screened <br /> 9. Measuring hole yes <br /> if so, c apped _ yes , Bacterial Analysis <br /> Date <br /> 10, Evidence of oil laaking <br /> into kell no <br /> 11. Can bacterial sample be <br /> taken at well _yes _ <br /> 12. Sample Point Tap at well <br /> %marks <br />