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ORIGINAL = STATE OF CALIFORNIA Do not fill in THE RESOURCES AGENCY n' File with DWR DEPARTMENT OF WATER RESOURCES NO. 145680 +f Intent No. WATER WELL DRILLERS REPORT 78__ State well No. o ,... . .^ mit No. or Date 71� Other Well Y( ( 1 ' OWNER: Name Gonzales Transit Mix (12) WELL LOG: Total depth 1 1i'2ft, Depth of wmpleted well 1 Zit• 8181 W. Business LOOT) 20[ iron, t. =)m,anim Describe aloe. _haracter. ze .,r matend) Tracy, Ca . Zip 95376 , 0 - Fill (2) LOCATION OF WELL - 1 Sand clay � (Ste instntctions): Sand Gntnrp San .Ion qu n Owner's Well Nctmber 1 1 'Xit address if different from above 19 - 21 Clams .,..vnship Range21 - and \ ' Section ' Distance from cities, roads, railroads, fences, etc. iH 205— �IIile I23 - � , may & '-sand s trey s -west of' Chrisman Rd . south side 7 - �� e 2 - 1'047, Cla7 (3) TYPE OF WORK: 10 11 � 11.x. Gravel New Well X Deepening ❑ 11 111+ Clay Reconstruction ❑ { 1 1 4 - \\I2 4 Grrave1 Reconditioning _ X12 4 - 1'31 ala - Hurizontal Well ❑ s 1 - 139. gavel Destruction 7 (Describe \ 142 C a y - destruction materials and procedures in Item 12-)/ - (4) PROPOSED DISE: - Domestic Irrigation _ Industrial ❑ Test Weil ❑ � _ _ Stock u Munwipal ❑ t - WELL LOCATION SKETCH Other - - - i. EQUIP`IENT: 6) GRAVEL PACK: - R"ran• Reverse ('Yes x No ❑ size D7!'.S o,r Air ❑ �12!e peter of bore 1 1t I - - )thcr Becket — I Paek��-IT( V to 1 42 c�y� CASING INSTALLED: 9' -PERFORATION'S: - I Plastic $ Cnncrete\u Tvpe of perforation nr-sne rf screen. r tom To -{ Dia. Gavar j fou;\ �% To Slot - rt. I ft, in. Wall ft.:" .•, ft. size- 160 ize-160 ' 10Z; 1 le, 9 WELL SEAL: - r is urfucc :anitary seal provided' Fes `:,. � If yes. :u depth PQ_it. .t•ere strata sealed against pollution? Yes = No _ Inten•a-1 k. ! - -`•Ieth„d •,t sealing '' I�PY1 L81�:f-ira Werk sorted � I -- '9 C mulete i0 WATER LEVELS: �i'ELL DRILLER'S STATEMENT: Jeuch "f rirst water, if known rt• This well was drilled ander my rurirdiction and -his rppnn a -rte to rhe hest ,j ;:�•; xanutm3 :eve! inter •.vell completion .cnou-ledge and befie+. ii WELL TESTS: SM >;ED _ f� ' :est made% Yes No „e. It es. 5y .vhnm? ( :Nell Driller .f :et Pump 3-ler Air ':ift _, j �A.-,. rsnnings Bros. Dr1111ng Co • , Inc. ✓cath to Hater at start of test k• At end if test R ! to fn, semi nL-o**��+ratio ) Typed or ported) - r ,, Address 27 i e_ ncale L Vee q ��a1:min after '+ours 'Nater temperature i' analysis made? Yes _ No X' If yes, by hum? Citg _Mode s t o, 'Ca o Zip 9`1�50 d—tric 4+q node? 'les i No 2gQ8 � ❑ g If +rs, attach corn• :o qhs report Lieenre Vo. '> �V Tate of this report 17-78 ::,VR :88 REV. 7.761 IF ADDITIONAL SPACE IS NEEDED. USE NEXT CONSECUTIVELY NUMBERED FORM z.