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r <br /> t STATE OP CALIFORMA <br /> iORIGINAL f o4� Z THE RESOURCES AGENCY Do not fill in <br /> File with DWR DEPARTMENT OF WATER RESOURCES <br /> WATER WELL DRILLERS REPORT N0. 2 8 6.1 3 <br /> letice of Intent No. State Well No. <br /> Local Permit No.or Date Other Well No, F� <br /> (1) OWNER: Name Cit of Tracy (12) WELL LOG: Total depth 1000 ft. Completed depth 990 ft. <br /> 560 Tracy Blvd. <br /> Address from#t. to ft. Formation(Describe by color,character,size or material) <br /> City- Tracy, CA - Soil <br /> � zi�. <br /> 376 0- 4 To <br /> (2) LOCATION OF WELL (See instructions): 4- 12 Brown <br /> County San Joaquin Owner's Well Number Lincoln 12- 20 Sand & Gravel <br /> Well address if dif�ere from above _ a'r 20— 76 BrOC'7I7. CZa <br /> Township 0 '�'j S2 Range � � _ Section 76— 83 Gravel & Sand Some SmIl Cobbles <br /> Distance from cities,roads,railroads,fences,etc. Lincoln park 83— 92 Brown C <br /> 92- 95 Brous ClaiNX S6nd Stringers <br /> 95- 112 Bros Cla \ <br /> 112-- 118 and ,r 1 & Small Pocks <br /> (3) TYPE OF WORK: 118— 136 ro 7f1OW <br /> New Well [N Deepening Ll 136— 1 11d CVavel & Small Rocks <br /> Reconstruction ❑ 145—jA%kBhFd\wn Cla <br /> Reconditioning ❑ 15 n & ft vel <br /> Horizontal Well U. — 2 ^Hci rod Stringers & Jo nt <br /> Destruction ❑ (Describe Mla— a20 JO e Clay <br /> destruction materials and pro- 2- 5 <br /> cedures in Item 12) 405 Gr & SDI <br /> (4) PROPOSED US 4Mk 421Blue Cl.a Sand Strin <br /> Domestic 420 life G - S <br /> Irrigation I �s Gra And <br /> Industrial gMM Brot' <br /> Test Well 545 ravel & Small Rocks <br /> Munici 567A, Brdki Cla <br /> o le 5 7-- 5 Bro-,rn Clay Ted/Gravel. Stringers <br /> WELL LOCATION SKETCH e Oa b 584— Course Grave. <br /> (5j EQUIPMENT- <br /> Rotary c �k — 65 Broim Clay <br /> Rotary ❑ Reverse C No Siz 7,059 Coarse Gravel & Rocks <br /> cable ❑ Air ❑ e of bor 32 •� 673 Brown Clay Hard Stringers <br /> Other © Backe El t, 73 698 Coarse Gravel. & Rocks <br /> 098- 708 Broxvn. Clay <br /> (7) CASING INSTALLED: (S) PE : Ful 108- 734 Brown Clay Stick <br /> Steel LA Plastic © e e Ty of fo n orsize of r 734— 745 Gravel & Sand "Hard" & Cemented <br /> From Di a. Gage orof 745 — 752 Broi-m Clay <br /> It. E it. Wall "�N ` <br /> t. size 752- 770 Gravel. & Sand <br /> 0 990 1 1 0 0 770- 791 Brocan Clay Stick <br /> 791 - 805 Coarse Gravel & Rocks <br /> 805 - 823 Brown. Clay <br /> (9) WELL SEAL: 250 82 - 830 Coarse <br /> Was surface sanitary seal provided? Yes lX No ❑ Ifyes,todepth ft. 830 — 860 Stick Brown Clay <br /> Were strata sealedagainstXollution? Yes © Yu ❑ Interval ft. On.t-i 2d on page 2 „_ <br /> Methodafsealing Cement & Conductor 7-29 <br /> Worfcstarted IrJ— Completed �� 1�� <br /> (10) WATER LEVELS: WELL DRILLER'S STATEMENT: <br /> Depth of first water,if known fte This well was drilled under my jurisdiction and this report is true to the <br /> Standing level after well completion fL best of my knowledge and belief. <br /> (11) WELL TESTS: Signed <br /> Was well test made? Yes © No El if yes,by whom? & (Ve! Drille j <br /> Sepeoftest Pump Li Bailer ❑ Airlift ❑ NAME , 2rs Bros. 1111elrifling, Inc, . <br /> pth to water at start of test ft. At end of lest ft. 8650 E�Pe�snpftore;grVal.onl(Typedorprinted) <br /> Discharge gal/min after hours Water temperature Address Lcti�) 131V[L <br /> Cbemicalanalysismade? Yes ❑ No © if yes,by whom? City Hanford A ZIP, 919.1n <br /> r <br /> Was electric log made Yes © No 0 If yes,attach copy to this re Mt License Nm 5A " Date of this report B-16-89 <br /> OWR l8e tREV. 12-88I 15 ADDITIONAL, SPACE IS NEEDED, USE NEXT CONSECUTIVELY NUMBERED FORM 86 96335 <br />