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)RIGINAL STATE OF CALIFORNIA Do not fill in <br /> IES with �WR THE RESOURCES AGENCY p' <br /> DEPARTMENT OF WATER RESOURCES No. 145680 <br /> ntent No WATER WELL DRILLERS REPORT State M ell No <br /> ul No or Date-78-310 Other\4 ell 1Su�. <br /> l ) OWNER \nor Gonzales Transit Mix (12) WELL LOG Tirol depth 1 42ft Depth of completed Hell 12ft <br /> ddress 8181 W. Business Loop 205 from ft to ft 1=onnation (Describe b. color character u7c or materid) <br /> it. Tracy Ca . zip 9 37 0 - 3 Fill <br /> 2) LOCATION OF WELL-r - Sand clay <br /> (See instructions) <br /> onntN San aJ 'uin Owners \Nell Number 1 Sand <br /> 1 ell rddresc if different from arnq (�h <br /> C ` 7 21 Clay <br /> to nshep Rant,e Seciur — S a nci <br /> Lstance from cities roads rarini ads fences etc <br /> Hwy 205- -km le - ay -sand streaks <br /> gest of Chrisman Rd . , south side ZZ= 40 Y <br /> ' - _lave <br /> 2 122 -- Clay <br /> (s) TYPE OF WORK 107 1 Gravel <br /> \e%t \\ell 'Mi Deepening © 11114 Clay <br /> Reconstruction o 114 �` 124 Gravel <br /> Recondrnoninl, ❑ 12 — 131 ___-Clay <br /> Hon7ontal \\ell ❑ 1 ;71 — 1 9 Gravel <br /> Destnielion D (Describe 139 142 Clay <br /> destruction matenals and <br /> procedure, in item 12) — <br /> (4) PROPOSED USE — <br /> DomeSttc x — - <br /> Irng ition ❑ — <br /> Industrial ❑ — <br /> Test IN ell ❑ _ <br /> Stock ❑ <br /> Municipal © <br /> WELL LOCATION SKETCH Other ❑ — <br /> 5) EQT IPMENT (6) GRAVEL PACK — <br /> iotrr, or ReNene ❑ 1e Q[ \o ❑ Size b i rd s eyp — <br /> lble P. Air ❑ Diameter of bore 11 — <br />)thL r ❑ Bucket ❑ ]Pad-ked from, 50 tort - <br />-i CASING INSTALLED r t S) PERFORAT[O%S — <br /> teel ❑ Plastic X Concrete ❑ Tc tx- of perfOratipn or etre of screen — <br /> F'rot11 To Dia Gage or F'rom,\ _ To Slot <br /> ft ft i In Wall ftp\��" , ft size — <br /> 0 142 8 160 102 1 nd c t - <br /> 9) "ELL SEAL — <br /> 1 is rurfice sinittn sell protidedo les No ❑ If sec to depth--5n_ft — <br />\ere +tot i tic ded i}.ainst pollutrun� 1 ec ❑ No ❑ mien it ft — <br /> Itthod of scalin Mork sorted 1J Completed— 19 <br /> 1R) WATER LEVELS NX ELL DRILLERS STATEMENT <br /> Npth of first Nater if krona ft This will uv4 drilled under mit tri rod ietrun rind this report a true to the brat of mit <br />+t tndmg let el lifter well conl1AL110 10 ft A nett ledge and helrcf / . > > <br /> 11) NVELL TESTS SIC-%LD LC L✓ C <br /> 1 r, cell test mide� les ❑ Ao If tics he nhruo' N\ell Driller) / <br />„x of to%t Pump ❑ Bu1er ❑ Air lift © \kAfE Hennings Bros. Drilling Co. Inc. <br /> Ihlrth to a ite r it st in of tcct tt At end of tc41 IL (ryy�s�n tam or cu i-itlu ) (Typed or printed) <br /> Gal/min <br /> after----ho uta \Nater tcntpLrature Addrecc_�52 + e�anda e Ayeo --- <br /> Modesto Ca . -zip 9 53 50 <br /> W1-Ih is madep, Yes ❑ leo M If ces h) cchoni' Cih� _ —17-78 <br /> 5 u clectrnt lof, made+ Yes ❑ No X If %es ittacb copy tr, this report License flu..- �-�v�+1� Date of thrc report {S <br /> l <br />-)WR 188 1REV 7 76) IF ADDITIONAL SPACE IS NEEDED USE NEXT CONSI`CUTIVELY NUMBERED FORM <br />