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A <br /> STATE OF CALIFORNIA <br /> IORIGINAL THE RESOURCES AGENCY DO not fill in <br /> File with ®WR DEPARTMVNT OF WATER RESOURCES <br /> WATER WELL DRILLERS REPORT No. 345813 <br /> %otice of Intent No. State Well No. <br /> Local Permit No. or Date_9-0979 Other Well No, <br /> (1) OWNER: Name APPIAN ENGINEERING INC. (12) WELL LOG: Total depth ft.Completed depth ft. <br /> Address 760 EAST CAPITAL AVE. from ft. to ft. Formation(Describe by color,character,size or material) <br /> City MILPIT.AS, CA - zip 95035 W _ r n <br /> (2) LO(6I0j6A(6:&ELL(See instructions): — 1 <br /> County Owner's Well Number #2 <br /> Well address if different from.above TRACY BLVD./CLOVER — 13AILED WELL <br /> Township TRACY Range Section PERFERATED 15' to 40' <br /> Distance from cities,roads,railroads,fences,etc <br /> FROM BOTTOM TQ t <br /> Emnum } <br /> (3) TYPE OF WORK: <br /> New Well ❑ Deepening ❑ <br /> Reconstruction ❑ <br /> Reconditioning ❑ Nk <br /> Horizontal Well ❑ <br /> Destruction IN (Describe �— <br /> destruction materials and pro- <br /> SEE ATTACHED MAY cedures in Item 12) <br /> (4) PROPOSED US . Wl <br /> Domestic <br /> Irrigation <br /> Industrial <br /> Test Well <br /> Munici — d <br /> O� F _ <br /> WELL LOCATION SKETCH e e _ <br /> (S) QUIPMENT: G <br /> R ary ❑ Reverse ❑ No iz <br /> Cable ❑ Air Q etc of bore <br /> Other Bucko M om t to — <br /> (7) CASING INST LED° (8) PER T _ <br /> Steel 0 PlasQ nc e Ty of fo n or size of r e Q <br /> From T D Gage or <br /> ft. ft i . Wall size — <br /> (9) WELL SEAL: <br /> Was surface sanitary seal provided? Yes ❑ ❑ If yes,to depth ft. — <br /> Were strata scaled against pollution? Yes El No interval ft. <br /> Method of sealing Work started 1rJ� Completed 1,) <br /> 91 <br /> (10) WATER LEVELS: WELL DRILLER'S STATEMENT: <br /> Depth of first water,if known ft. <br /> This well was drilled tinder my jurisdiction and this report is true to the <br /> Standing level after well completion ft best of nowle and belief. <br /> (11) WELL TESTS: g �,.7 � & ,1 10 rflAe , 'GL� <br /> Si ne <br /> ftW <br /> as well test made? Yes [I No ❑ If yes,by whom? (Weil Driller) <br /> ype of test Pump El Baiter ❑ Air ❑ NAME GLENN MARTELL & SON INC. <br /> Depth to water at start of test ft. At end of test fL + _,(pe�lpq, ��,grporatton)(Typed or printed) <br /> Discharge gal/min after hours Water teroperaturo. <br /> Address 1.81.8 I''QVLLf17J.'�� LVJ. <br /> Chemical analysis Yes ❑ No _\�_ A 94$65 <br /> y © If yes,by wham? City PITTSBURG,� "LIP <br /> Was electric log made Yes ❑ No ❑ If yes,attach copy to this report License No., 51.09 52 Date of this report, 5/S/91 <br /> DWR 188(REV. 12-9e) IF ADDITIONAL SPACE 15 NEEDED, USE NEXT CONSECUTIVELY NUMBERED FORM 86 96335 <br />