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t' d1:1 fsl ren% Do Not Fill In <br /> WATER WELL DRILLERS REPORT <br /> O 120862 <br /> O <br /> RIO W9100,Duplicate and Triplicate with the (Sections 7076,7677,7072•wares•cadet <br /> REGIONAL WATER POLLUTION Stata vd1 wo— <br /> CONTROL zoARD No.- 5 -- THt~ RESOURCES AGENCY OF CALIFORNIA Other Well No __- <br /> �rr 1 appraprfale nawbm) a <br /> OWNER: (11) WELL LOG: <br /> Nxme K. Sasaki Total depth 300 fr. Depth of completed well 300 ft <br /> Address Rt, 1,- Bpi 799 sormatloat Dnerrae by cbfor,cbrraeter,tlYr of wafrrlrl,rvd sirsie;tire <br /> Traey, Calif. Oft to 3 Is, H TOP Soil <br /> 3 10 Sandy Clay with Grave <br /> (2) LOCATION OF WELL: 10 0 Gravel with Clay <br /> CountySaM ��aS4�1ri Owner a number,If any-- � O 0 Clay <br /> R_P D at Street No- Rt. J., Box 7991 Tracy -- 4743 Gravel with Vater <br /> 7 .A2 Clay with Gravel <br /> 63 80 Gravel with Water <br /> 80 84 SPd <br /> z Clay <br /> $4 94 Gravel with Clay <br /> 6 Sand Clay <br /> (3) TYPE OF WORK (check): 6 1, 99 Gravel <br /> Now well ® Detpeutng © Recondtuorang Q Abandon [3 99 113 —Sandy Clay with Gravel <br /> If abandonment,describe makrlal and procedure in Item I -----113 126 __-Yellow Clay <br /> (4) PROPOSED USE (check). (S) EQUIPMENT: 126 116 Sandy Clay_. � <br /> Domestic [3 Industrial ❑ Municipal ❑ Rotary ❑ 146 156 Grave <br /> Irrtgatlon ❑ Test Well E] Other ❑ Cable ® _with Gravel <br /> Dug Well ❑ <br /> (6) CASING INSTALLED: If gravel packed <br /> SIM43_E® aauel.Q 0 Gale 193 1-W GrAxal <br /> 11 <br /> of Dlatnater from to •• <br /> FromO ft to 115 ftlb mar.y Wal[ -'Bare fe it <br /> _ 0 300 •'12 1/4 239 91 a 21 st Crave-l- <br /> BY <br /> Bandy 93,ay <br /> .,.. .. 11 . , .. „y.. <br /> 231 2,�1f:I�„'.'_—„� 3r wl th �yQ <br /> Gr3 <br /> 2�4300 Yallow Clay <br /> Types and s,se of shoe at well r4n6 5 $ 10 Slte of srartto <br /> Descr$h■hint Butt weld <br /> (7) PERFORATIONS: <br /> Type of parfarator used M:Uls Mife " <br /> 1. <br /> Size of perfaranaas 2;1 2 ?n,length,hr 55126 in .. <br /> From 14k to 156 ft 4 pert per row IL Rowe per ft a, <br /> • <br /> 165-- 171 <br /> 1u-- 1 <br /> 212.. 219 .. .1 .. <br /> (8) CONSTRUCTION: <br /> Wm a surface ramrary real prgvided3 xI Yea1, <br /> ❑No To what depeh 315 fe <br /> Were any strata$tried agalmt pollumon? Q Yes 29 No If yet,non depth of strata • .I�r <br /> From It to it <br /> Method of Se4mg Fork starred Jan. 26 19 65, completed Feb.-,I(Y, <br /> (9) WATER LEVELS- WELL DRILLER'S STATEMENT 1P�a� ltirrr <br /> This well was drilled undar any Jurisdiction and thus report is true to t b't rr <br /> Depth at which water was first found 35 ft <br /> my knowledge and belief <br /> Standing heel btfore perforating 142 ft <br /> NAME UST1 RN VIELL DRILLING CO.,t LTD. <br /> tag lerel after perforatiniPerson,fe firm,or cotation F. ,( pOr1 fayprd or prrarrd <br /> A4&eu a ) <br /> P sox 47 <br /> MW (10) WELL TESTS: Sa a a alif. 95103 <br /> War a pump tut made? ❑Yea 1] No If yu,by wham? <br /> [S'IGNBtt� __ <br /> Yreldr gal/min with Er draw down after hes Wrltilelller x <br /> Temperature of water Was a chemical analysis made? 0 Yea C1 Noro__g5182 Fab. 16 55 <br /> Lrcctua ,�_,..._....__ IJated....._..._..._w_ 19 <br /> Wer electric log made of wall ❑Yea 33 No <br /> 07649 a ey east allIN©DaAtr DWR Ise (nav 3 54) <br />