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i <br />• STATE OR CAUFORN1A <br /> ORIGINAL E THE RESOURCES AGENCY Do not fill to <br /> , File with DWR DEPARTMENT OF WATER RESOURCES <br /> WATER WELL DRILLERS REPORT N0. 262046 <br /> ofIntent No Stake well No. <br /> k1. <br /> 1 Permit Na or Date Other Well No Q <br /> (1) OWNER Name Jennaro Properties (12) WELL LOG Total depth_ 29 ft Completed depth_2_ ft <br /> Address xx 31281 Wiegman Road <br /> from ft to ft Formation(Describe by color character size or material) <br /> City Hayward CA - - --ZIP <br /> 0 - 10 SILTY SAND; medium brown, fine <br /> (2) LOCATION OF WELL(See instructions) - to medium grained <br /> Countv Owners Well Number MW-2 10 - 14 SAND; multi-lithie fine and <br /> Well address if different from above - medium-grained, an uta r <br /> Township Range Secuan — Sorted. <br /> Distance from cities, roads, railroads,fences,etc 14 — 15 VERY SILTV\CLAY• tan with <br /> .j--� -1 O - mottles <br /> 15 - 17 SAND --multi- hie fine- rained, <br /> - welly d. <br /> (3) TYPE OF WORK 17 — 19SAND; •mkf3.t�i-13.thic fine and <br /> New Well ® Deepening ❑ m�@dium"ra:lneclr poorlysorted <br /> Reconstruction ❑ 19 — 21> V�iSILTY CLAY; medium brown <br /> Reconditioning ❑ 20 SAN • muj i-lithiC coarse and <br /> Horizontal Well ❑ - V\ fine- a3Ln�ed. <br /> Destruction ❑ (Describe 2 - 22 CLAy <br /> ry m brown some ar e <br /> destruction materials and pro- sgr d& -silty. <br /> cedures in Item 12) 23 SA multY i' C coarse to <br /> (4) PROPOSED US - -' edium- ai m ines <br /> Domestic 23 - 24 MAY, ai m�r wnsilty. <br /> Irrigation i 24.S-- 25_5 SAND, rtultl-lithz medium- <br /> Industrial ❑ fes_ `/, qraified,r-ancrular, silt <br /> Test well < L' S.r5— 27 LTY \ N Y • medium <br /> �tunicipaI C — brawn <br /> Orr \ `� - 'j ' 'D• multi-11 hie mand <br /> WELL LOCATION SKETCH i�> , ,be) 1'7 itori?3g �, - .fine- rained an ular. <br /> (5) EQUIPMENT I CRVyELP+tCK ��!� � 2.9 29-- SILTY SANDYCLAY: brown with <br /> Rdary ❑ Reverse <br /> ❑ 1 No'© size ^' 'y rust mottles. <br /> Cable �= <br /> ❑ Mr ❑ �eterof bore <br /> Other CR Bucks�_q PacltedfTom 7 <br /> Hollow stem au e — <br /> (") CASING INSTALLED- , \ 5 8) Pt RF00.�TIQ�1 r_ <br /> Steel ❑ Plast:e M Nn'crete ❑ T,,pc of perfentinn or'sur of screen - <br /> / n Jr <br /> From Toi� Gage or ',,ftt_6 t TRI — <br /> ft ft- t iu t Wall It, - size — <br /> n <br /> (9) WELL SE4kL <br /> Was surface sanitary seal provided? Yes W No ❑ If yes,to depth _ 2 rt <br /> Were strata sealed against pollution? Yea ❑ No ❑ Interval fL - <br /> Methodofwalmg Work started. July 22 19--EM- Completed 1111Y 22 -19.$UL <br /> (10) WATER LEVELS WELL DRILLERS STATEMENT <br /> Depth offirst water if known 1_5 ft Thu well was drilled under my jurisdiction and thea report is true to the <br /> Standing level after well completion -_��n ft. jWst of rriy knrnnlrrf a aneI ler <br /> (11) WELL TESTS <br /> 'as wall test made? Yes El No � if yes,by whom Si gned _ (Well D lee{ <br /> _of test Pump ❑ Bailer ❑ Air lift ❑ N 1ME <br /> .Ah to water at start of teat It, Jit end of test o f <br /> ft iPersirM or unrpvrallon)(Typed or printed) <br /> Discharge gal/men after hours %kaivr IemlfMrature Address r' <br /> Chernwalanal)sumade? Yes a No ❑ If yes b}whom' Canon i Aq City ZIP <br /> Was eleenc logmade Yes ❑ No rk If yes attach copy so ihu report License Na b Date of ibis report ffmf <br /> DwR 188 9Ft9V 12-6s) IF ADDITIONAL SPACE is NEEDED USE NI=XT CONSE UTiYELY NUMBERED FORM 66 96333 <br />