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ARCHIVED REPORTS XR0010020
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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ELEVENTH
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3500 - Local Oversight Program
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PR0544794
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ARCHIVED REPORTS XR0010020
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Last modified
11/19/2024 10:19:02 AM
Creation date
9/3/2019 2:14:33 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0010020
RECORD_ID
PR0544794
PE
3528
FACILITY_ID
FA0013337
FACILITY_NAME
SOUZA II LLC (VACANT LOT)
STREET_NUMBER
612
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
23439018
CURRENT_STATUS
02
SITE_LOCATION
612 W ELEVENTH ST
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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4 <br />� � t —�► .,niw �a <br /> t <br /> 9TATR OF CALIFORNIA <br /> ORIGINAL THE RPSOURCES AGENCY Do not fill in <br /> %tice <br /> le with DWR DEPARTMENT OF WATER RESOURCES 61 <br /> 33 <br /> WATER WELL DRILLERS REPORT No. 28 <br /> of Intent No. State Well No. �- ,� <br /> Local Permit Na or Date Other Well No O�i«g 4v <br /> (1) OWNER Name— City of Trac (12) WELL LOCI Total depth 1000 EL Completed depth-99 00-ft <br /> Address 560 Tracy Blvd. from fL to IL Formation(Describe by color,character size or material) <br /> City- Tracy, CP zip 9537 0- 4 To Soil <br /> (2) LOCATION OF WELL(See instructions) :0 A?-- <br /> 12 Br-mm Clay <br /> County San Joaquin Owner s Well NumberLincoln 12- 20 Sand <br /> Well address if di ere (from above ar 20— 76 BrgIvM Clay..- <br /> Township d n lunge 43 Section 76— 83 Gravel & Sand Sme 11 fQbIlles <br /> Distance from cities,roads railroads,fences,etc T,i ncoln Park 83 2 BrgM C <br /> 92- 95 Broi i Cla d Str <br /> 95- 112 Bros la <br /> 112- 11$ 1 & qmll Rocks <br /> (3) TYPE OF WORK. 118- 136 rairlll <br /> New Well 8 Deepening 0 136- 145 id vel & S nail Rocks <br /> Reconstruction ❑ 145 B <br /> Reconditioning (] 157 11, Sand &ffkavel <br /> }Horizontal Well © 64— 2 Br rd Stmngersnt <br /> Destruction ❑ (Describe — 320 JO e a <br /> destruction materials and pro 3 <br /> cedurrs in Item 12) 40 GrMAIL <br /> S <br /> (4) PROPOSED US 4 _ 42 t uand Strj-ngery <br /> Domestic 420- lue GIYMS96' <br /> Irrigation 505 51 Gra d + <br /> Industrial © - Br <br /> Test Well D 45 avel & Small Rocks <br /> Manic' - 56 la <br /> R Per 7-,,5 r= wn ClayW Gravel Stringers <br /> WELL LOCATION SKETCH a �) 584- ourse Gravel <br /> (b) EQUIPMENT GRAV CK. — 6 Brom Cla <br /> Rotary ElReverse f No 1,W 59 Coarse Gravel & Racks <br /> Cable ❑ Air ❑ ete other 32' 673 Brown ClayHard Str3.n ers <br /> Other ❑ suck ed rent. 7 -- 698 Coarse Gravel & Rocks <br /> 698- 708 Brown Clay <br /> (7) CASING INSTALLED (S) O TI 708— 734 Brown Clay Sticky <br /> steel IR Plastic ❑ Ty of fp on�sheaE 734-- 745 Gravel & Sand "Hard" & Cemented <br /> From Dt Gage ar t 745- 752 Broivn Cla <br /> ft. f i wall t size 752- 770 Gravel & Sand <br /> 9W-1 1610H .070 770- 791 Brotm Clay SticLky <br /> 791 -805 Coarse Gravel & Rocks <br /> 0 -823 Brown Cla <br /> (9) WELL SEAL --82 3 <br /> Wassurfacesanitarysealprovided? Yes LX No 11Ifyex250 lodepth ft. 830 - 860 Sticla Broim Cigy <br /> Were strata sealed against titan? Yes ,�NOT ❑ Entervai ft — on <br /> Method of sealing reeslent & Conductor Work started IS_ Com leted 19 <br /> (10) WATER LEVELS WELL DRILLER'S STATEMENT <br /> Depth of first water if known ft <br /> Standing level after well completion ft 7 his wetl teas drilled under m� jurisdiction and this report is true to the <br /> t; p beat of my knowledge and belie <br /> (11) WELL TESTS Signed <br /> Was welt test made? Yes ❑ No ❑ if yea,by whom? {vcl Du <br /> pe of test Pump ❑ Wer ❑ Airlift ❑ NAME ,Flyers Bros. ide�J.p�,p���3 Icing, Inc, <br /> pth to water at start of#est fL At end of test fL 8650 E(P y&y D1V t on)(Typed or printed) -Discharge gal/nun after hours Water temperature Address <br /> Chemical analysis made? Yes © No ❑ if yes,by whom? City ZIP^ 9123n - <br /> Was electric log made Yes ❑ No ❑ 1 E yes,attach to this ce t License No, e Aate of this re rt 8-16-89 <br /> UWR 1813 iRRV 12 aM IF ADDITIONAL SPACE IS [NEEDED USE NEXT CONSECU7WELY NUMBERED FORM 26 96355 <br />
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