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35035 S. Corral Hollow Rd, Tracy WP0037702 <br /> 6/28/2018 <br /> PHOTO#1 <br /> First a e of E-lo for domestic well. <br /> DATE _ CASING: PVC OR STEEL <br /> DRILLER <br /> GAUGE_ <br /> NAME _. SLOT SIZE _ <br /> LOCATION GRAVEL PACK TYPE <br /> SEAL DEPTH Er TYPE <br /> CROSS STREET PERFS <br /> BORE DIAMETER __ <br /> WELL DIAMETER OLD WELL DESTROYED?YES OR NO <br /> y� it a A <br /> WELL DEPTH IF YES, FILL OUTJOBBER, PLEASE <br /> L <br /> 16xJ�szo1 .31r 3Z7 <br /> `�5-1� ,�-( ------ - <br /> Maryann Beniamine, EHS Page 1 of 3 <br />