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NOTICE OF INTENT NO. 63398 ' Do Not FrII In STATE OF CALIFORNIA 'gyp THE RESOURCES AGENCY Ohi01ldAL _ N•DEPARTMENT OF WATER RESOURCES LU M � 2s sE52 8 z.D i Me with AWR 1 'WAtEtlC IVELL DRILLERS REPORT State Well No Other Well No i (I) OWNER (I I) WELL LO/-.G Name CIV of Tracy Total d,P,h 120p5 ft i)cpth of completed well 720 ft Address P.O. Box 1029 Tracy, CA 95376 Furmn,on Dnrr rGr!y talo. rl ararrrr va of nate era! artd strnrfrrrr ,0 L L.L- (2) (2) LOCATION OF WELL North Well 0 to 71 Top Sail a:ounty San Joaquin 0%per s number 4 any 71-2—r, 7 45 Clay and Silt Township kangt and Section r� 45 60 Sand i3mancr lrum trues roads r211-285 etc Corner of AracA hur an 60 85 C2a Gr-2nt Line Road 85 120 Sana (3) TYPE OF WORK (check) 120 160 Sand & Gravel New q'ell [X Deepening ❑ Reconditsontng ❑ Destroying ❑ 160 200 Clay 11 detiructron,describe m0rrral and proredurr in Itrrn 11 wv 21.9 „' (4) PROPOSED USE (check) (s) EQUIPMENT 219 235 Sand & Gravel Domestic ❑ Industrial ❑ Municipal ® Rotary EX 235 251. Clay Irrigation ❑ Test Well ❑ Other ❑ Cable ❑ 254 275 Sand & Grave Other ❑ 275 28 Cls (6) CASING INSTALLED 284 31C Send & Gravel. STEEL OTHER If gravel packed 310 319 Gla SINGLE IN DOUBLE ❑ 319 335 Sand & Gravel Gage Diameter 335 3/k9 Clay C From l u or of From To W 3.65 asnd & Greivel ft It Diam urall Bore ft ft 365 374Gla 0 200 0" 81' 3811 6 200 374 390 Sand. -- 0 318 16f1 16r' 0" 200 920 6 Sand & Gravel v 920 2-34r 5 1611 3011 1 416 42t C a T S,z et ,hae 4 cell r,ny, size of travel 16 8 6 0 Sand & Gravel A r r � t?escrlb� mint welded 440 451 G 8V (7) PERFORATIONS OR SCREEN 68 Sand Type of tial.........r na,ne f acrern facto r-milled 468 8y f C Gar " 'y Pcrf Rows 79 495 Sana & Gravel Frans To per per Size 495 512 Clay J IE ft row ft to x in 512 530 Sand 0 ?20 24 5Z32n 530 542 Clay 542 560, Sana & Cray el 69 583 Clay 583 610 Send & Gravel 610 623 Gla (s) CONSTRUCTION �y 62 /5 Sand �y u Wa... rtacs s.unary seal pro,tded+ 'li IY No Cl To what depth 20❑ ft 45 54 lay Were an, Iris.algid aFasnsr Tu^ If its once depth of stmt: 4 670 Sana & Gravel Fru. ft t. ft 70 684Clay /dor. nue Fru- it u. it \t y ork s,ancJ 9 19 f 1 Comphtt,d 11 20 ay 19 71 Methud of aralin�, W ILL DRILLER'S STATEMENT (9) WATER LEVELS I J�fs xell uat drrllyd tender nn pfrisdi,-Oon and tbii report n iruf It? for l+rti of my knnulydki and brlrrf Depth at which —ler was fi,sr found o knoan Ir Surid.rig level before perforat,ne ,f known ft NAME WESTUN 1III-E?tL DRILLING GO., LTD. {I.,— fitm or corporation) FTlprd or panted) landenfi leve1 aNrr, perfora nnF and dr,elnpi n>_ it L7�x 109 (10P.O. B) WELL TESTS Address ��, Was pLmp lest made lea (x No [j1f,es by whams Ur]..l l8r en Ji5o nla 3040 >;a1 Jm,n with 10ft drawdown after hes [SLG NED rr 3oR made of wells les of water Was a chemical analysts made? Yes ❑ No ❑ 0- eratu 'Z 182 L)atcd Dec. 15_1__, 1 9 71 V'as cite int C3 No [D If yes at pch copy Lst.cnse NO SKETCH LOCATION OF WELL ON REVERSE SIDE DWR 198 r REE D fie. 25179 200 Y aB 10M TRIP At)OSP M�