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L, . 1 0 •. "' - " , - - 110TICE OF TAi ENT N0. 1042) ORIGINAL WATER WELL DRILLERS REPORT Do Not Pill in F1Ie with DWR (Sections 7079,1010,7061,7oE4,Water Code) N TO ey !27 THE RESOURCES AGENCY OF CALIFORNIA w M Q-4DEPARTMENT OF WATER RESOURCES' Stats Wall No Vim., ��Q Otfier Well No.--.. (1) OWNER: (11) WELL LOG: Name City of Tracy Total depth 1209 ft Depth of com lated Weil 1200 Et Address P. 0. BOX 1029 Foematims Dricribe by calor,chdwjer,tla,of maferlal,acrd seracisre Tracy, Calif. 95376t c � (2) LOCATION OF WELL. f0 ft. to OP a conntr San Jogi4iin Owntr'o number,if an M .y. 1 .�an -t ay 1117.' rave Townshrp.Ronx,sadSectian S I1 20 Grav©l & Sand Mums frostavium,roads,railroads etc 150 ft. S of wost TATRI 20 .il IT 2 11 Yellow SandY Clay iT a45 Ik Yel SadCl w Grav tringers (3) TYPE OF WORK (c eck): 456011 Gravel & Sand NewWall M Deepmog 0 Fecondtteoning ❑ Datroymg 0 t1 It75 11 Clay, Sand & Gravel Stringers 1{destrr lion,describe malerlal and¢rocedure in lte*n 11 I1 11 It Sand & Grav w Clay Stria ers (4) PROPOSED USE (check). (S) EQUIPMENT: tI It 90I1 Gravel & C1 Domestic ❑ Induatml ❑ Municipal ® Rotary ® 11 11 98 It Sand & Gravel Cemented with Cl Irrigation ❑ Test Well❑ Other ❑ Cable ❑ gg it It It Sand w Grav & Clay Stringers Other Q 11 a 11 Sandy Clay (6) CASING INSTALLED: � 12p is It 13511 Grayl & Sand -,,Tl Clay Stringers STEEL OTHI=.rztT � �1k)� '' e I1 It n ceinentet3. ve hard SINGLE gg DOUBLE;Q It It 11 Sa CIDY Gage Diamer 143 1t n ft S and From To aor of From To 11 IT 152 1I S"gpd Clay t fc, ft Diam Wan Bwe ft it 152 11 It 163 t1 Gravel & Sand 190 0 0 190 It Ir 11 Sand Cls, w Gravel Stringers 00 16 5/16 30 190 1200 17QII 1t 186 It Gravel lrtith SandZ Clay 1200 12 5 iT a 41 Sandy Clay with Gravel Sue of chat or will tinge nung Sue of Rrav*l 16 x tt fl198 11 Gravel & Sand De .rtbe joint weldud 19811 II203It Sandy Clay IrZ Gravel Stringers (7) PERFORATIONS OR SCREEN. e! tI It Grave! & Sand clean Type of perforation or name of sereats facto 11 1f I1 Sandy C itith Gr&vel Perf Rows 22ntT iI22,9le Gravel, & Sand clean From To per per S12e 229 I1 I1 251 11 YellmySticky Clay ft ft row ft in xin 251 It 11275111 C g T1th Sand 366 3930 3 .160 x 3 275 it it 290 11 Gravel with Clay Stringers 10 490 24 3 ItiA 0 It I1 320 1t Yellow Cl $S Sand wz ravel 0 560 it ItT It il 320 1T n 390 11 Blue ClSy 620730 it it lift 39Q It It 429 fI Black Cemented Sand with Blue 7501 780 1t If 1111 Gla hard (s) CONSTRUCTION: �ontinued 429 It It A52 It Black Sasid with Grave lue Was o surface tan.ta sal provided? Yes M No 0 To what depth 190 ft 01ay (hard) p� War*en7 strata t*aled a ainet allut[one Ya O No 1f s,ante depth of nista it I1 6 it Black Sand with Shale c`.0 ravel From it to ft Continued Frmtn it to It Work started 18 1 a 19 ,Completed All,% 19 67 Method of"all n WELL DRILLER'S S'iA'MMLNT (9) WATER LEVELS: Tbrs 14wil was drilled under my Jurssdiehors aced tbrs report rs face to the best D*pth st which Water wan fiat fond If known — of my knorulyd�L&se��etatrttntsdbd��r*�e �r�rr�r TT T T Styr sE rttn Standing level before petforatrn IE known ��}} ft NAME T'Ii:st]Jllrti l'1 iY�..e,ia DRILLING CO.VVLTD. Stand.n Iw*i aft.r dsrslo .m qr ft (Person,firm,o!Corporation) (Typed or prlosrd) (10) WELL TESTS. Addrars P. 0. Box 47 e 9 Yea �p mat:modal driller 5e ala [* Na ❑ u yee,6p whomr i' 4 00 Rat/min wick L Fc drawdown afmr hra 1S (Writ DdllrrJ Tem ■nenu of waur Was a eltmnieal ami a.s mad.I Yrs 1� No �y Sept. � l WaaelxtricEaRmadeoFwellt Yes ❑ No ❑ if a aceaeheo 7 License o.... 25 .82 .mated-- y7 p �ty�- 1]9 6r7 —. SKETCH L.00A'CION OF WELL ON REVERSE SIDE; 1 VMR OFFICIAL USE DWK ISO (R" 9 BS) s*sst trap io aa aaat TntR[]A oar