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LOCATION NO <br /> WATER WELL DRILLERS REPORT Do Not Fill In <br /> FIIe Orlgl1, Duplicate and Triplicate with the 11 (Seataaaa 7676 7077,7071 cvar.r Cod.) 1®l 0 19277 <br /> REGIONAL WATER POLLUTION W M � S 5 �- <br /> STATE OF CALIFORNIA State Wdl No _ _ l 1`I l <br /> CONTROL BOARD No <br /> Ini"i a.ppropriaee n.mbiri Other Well No�_1 <br /> •f <br /> , OWNERq�� Hintz <br /> (11) WELL LOG <br /> Name T. a int z A Tot,(dopth 212 it Depth of complered yell 199 <br /> 9 fr <br /> AdaresS 1000 Central Ave• Formation ➢rrrrrbr 6y eo'or h ft - n I m I_"l end ri—f.re <br /> Tracy, California 1 fr to 1b f= To Soil <br /> - ay, Sand St-F-ea-Y-6- <br /> (2) LOCATION OF WELL 30 35 clay <br /> C uhty San Joaquin #2 -- - 35 _40 Sand... ....- <br /> R F D or Street No 777toQ0 <br /> 300 ft. north of Grant Line Roads 99 Cla Sand Streaks <br /> between Trany Road and Parr- Dpi-ve----- 0 105 C <br /> lay <br /> 105 120 CZa Sand Streaks <br /> Z20 178 -May <br /> 178 191Gravql & Sand <br /> (3) TYPE OF WORK (check} 191 212 Clay <br /> New will X Deepening © Recond+non,ng 0 Abandon ❑ <br /> ff abaedorsment describe material and procedure in Item I f <br /> (4) PROPOSED USE (check) (5) EQUIPMENT <br /> Domestic ❑ Industrial ❑ Municipal E] Rotary <br /> Irrigation ® Test Well ❑ Other ❑ Cable ❑ <br /> Dug Well ❑ <br /> (6) CASING INSTALLED If gravel packed -- <br /> SINGLE 0Ol3E3LE 7 G+se +, — — — — <br /> or Dtametrr f om to t �c-._ — ..! 7 7 e <br /> From 1 rt tri 199 it 12 Du - � ®all at sort °t fr _ a — <br /> �� <br /> T,pc xad tzr of noe¢r.ell ring <br /> Open C ones 5ite of Sra.cl XI-1/4- O.T1B On bottom $S opening <br /> Deren6c rotac Welded <br /> (7) PERFORATIONS <br /> Type of perforator need Mlll Slot <br /> SIZE of Perfor+t�o¢r .C, m leex[h by ss <br /> Froin Pert per row Raw+per ft <br /> 159 194 3 12 <br /> (8) CONSTRUCTION <br /> W*I i iurt+u,+otcary,cal pror,dadl [] Ye M ;lo T¢what depth ft <br /> 17er any,traces sealed".It patlunoo) [] Yu .M No if yee Dote depth of I- <br /> -From f[ to <br /> C Er <br /> Method of Sealing (�$ i � f' Work[resited 9_1-5 5 9 C¢mPie[ed 9-10-5. 19 <br /> (9) WATER LEVELS. _ _ WELL GRILLERS STATEMENT 7 <br /> Thos will was drilled under my iurrsdretron and this report is tnfe to !be best or <br /> Depth at wh4e6 neer wa+Snt farad — 16 ft my knowledge acrd belief <br /> .,.I hefpre P-fat-estrus _ 16 ft NAME Hoxk Well E uim nt Co. <br /> tnd..x 14*1 44cer parf¢ e;¢Ix y _ r _ 16 ft (Y f5o¢ firm or corncraxion) i7-",d or pr,.rrdl <br /> Address P. 13ox 24,iti <br /> i <br /> (10) WELL TESTS <br /> 47u+p­P tem madea X Ya ❑ No II yu by whoaal <br /> Self <br /> — <br /> Ytcld 640 sal/m, with (20 it draw dowu alrar 2 , •,veil DriC[r. <br /> r` / -Sept-. <br /> } <br /> Temperature of wares `i✓+,.chem r,l a¢alyaa made? Cl Yu No License No_ 12.0302! » Dated— -Sept-. -13 --- <br /> W.I efettne I.K mrd'of well? 0 Yee z No .n.0 . ae so.ou'.Q sro DWR Few+a^r^ -- <br />