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J <br /> 57FATH OF CALIFORNIA <br /> tORIGINAL THE RESOURCES AGENCY Do not fill in <br /> File with DWR DEPARTMENT OF WATER RESOURCES <br /> WATER WELL DRILLERS REPORT No. 286133 <br />' latice of Intent Na State Wel)No �{ <br /> Local Prrmtt Na or Date Otlier Well No rO <br />' (1) OWNER flame City of Trac (12) WELL LOC Total depth 1.000 ft.Completed depth-99-0 ft <br /> Address 560 Tracy Blvd. from ft, to fL Formation(Describe by color character size or material) <br /> City._ _ Tracy, CA - zip 95376 0- 4 To Soil <br />' (2) LOCATION OF WELL(See mstructlons) 12 Br= <br /> — <br /> County San Joaquin Owners Well Number Lincoln 12-- 20 Sand & GXavel <br /> Well address If dtef�ere from above Parkml <br /> 20— 76 Brm C1a <br /> Township O [.3 Range. -? Section 21 1 Q 76— 83 Gravel & Sand Some es <br />' Distance from cities,roads,railroads,fences;etc Lincoln ncoln Dark 83- 92 Bram C <br /> 92-- 95 Brown ClaW& Sind Stringers <br /> 95- 112 Broc Clay <br />' 112- 118 an 'ex l & Small Rocks <br /> (3) 'TYPE OF WORK 118- 136 roim <br /> { New Well 6 Deepening ❑ 136-- 145 zd avel & %all Rocks <br /> �¢ Reconstruction ❑ 145— M B)sO�m Clay <br />' Reconditioning © 157 Sand 61, ve <br /> Horizontal Well p 164— 2 Bro d Stringers & Jo nt <br /> Destruction 0 (Describe 320 JO e C1a <br />' destruetton materials and pro- '2 3 <br /> cedurm to flern IP0 40 5 Gr & S&i <br /> (4) PROPOSED US 4 - 420Blue-Q1 al <br /> Domestic 420- lue O - <br /> Irrigation 50 51 Gra nd <br /> Industrial 0 Brol � y <br /> Test Well ❑ < <br /> MID-)545 avel & Small Rocks <br /> M°'net - 5631> Br Cla <br /> S 7_ Fm Clay W/Gravel. Stringers <br /> WELL LOCATION SKETCH < *v-)-) 584- Course Gravel. <br /> [5) EQUIPMENT k-�i <br /> RAY CK t — 6 BrnT n Clay <br />' Raw © Heverso L�f ,x fi59 Coarct~ Gravel vc Packs <br /> Cable © Atr 0 etc ofhor 32` 673 Brown Clay Hard Strip ers <br /> ocher © adick ed from 73 698 Coarse Gravel & Racks <br /> 698- 708 Brown Clay <br />' (7)CASING INWAI LED (6) PE o TIFulrry 708- 734 Broivn Clay Stick <br /> Steel Ljj elastic © c Ty of f norsize oF rc` 734-- 745 Gravel & ,Sand "Hard" & Cemented <br /> From Dt Gage" <br /> tf of 745 - 752 Bro n Cla <br /> It f Wallt stZe 752- 770 Gravel & Sand <br /> 8 770- 791 Brox-in Clay Stict <br /> 791-805 Coarse Gravel & Ro k <br /> 805-823 Brown Cla <br />' (9) WELL SEAL 250 82 — 830rse Gravel & Rocks - <br /> Wassurfacesanstarysealprovided? Yes EZ No❑ Ifyes�todepth ft 830—860 Stick Brown Cla <br /> Were strataealedagtrahtic ? YesCoda❑ interval ft. - i eC on ale 2 <br /> Meow ofealtng (�ement & Conductor Work started _ <br /> 14 completed—", <br />' (10) WATER LEVELS WELL DRILLER'S STATEMENT <br /> Depthof first water if known ft <br /> )evdafterwellcom leteon it This well was drifted under m� )urtsdicttOn and this report is true to the <br /> Standen <br /> g P ,best of m1 knowledge and belie <br />' (11) WELL TESTS Signed vcl urdl ) <br /> Was well test made? Yes ❑ No❑ If yes,by whom? S <br /> 6�eaEtest Pump ❑ Bailer ❑ Air hft ❑ NAME ers Bros. idelf �rilin Inc. <br /> pibl.water at start of test fL At end of test ft- 8650 E EPeyW oe�r�p on)(Typed or prinlcd) <br /> Discharge gal/min after hours Watertemperature Address <br /> ILxai�� �V � <br /> Chemical analyse made? Yes 0 No El It yes,by whom? Crly � 12] t CA ZIP r�u—� 23 <br /> Was e[ectnclag made yes© No ❑ if y.s attach copy to Itus report License Na Date of INS report 8-16-89-- <br /> ._,., <br /> GwR tea tAEV 12_8g} IF AODMONAL SPACE IS NEEDED USE NEXT CONSECUTIVELY NUMBERED FORM 66 96355 <br /> i <br />