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ORIGINAL STATE OF CALIFORNIA DO tnot fit, in <br /> File with DWR THE RESOURCES AGENCY <br /> DEPARTMENT OF WATER RESOURCES No. 145635 <br /> ,.f IWIA Nn _._ WATER WELL DRILLERS REPORT <br /> it N <br /> State writ n. <br /> Permit No. or Date— , C <br /> Other 1% 11 No.T E— <br /> (1) OWNER: p Del Aueh, Conte (12) WELL LOG: Tntmalra,tL$3—n. Depen ofmmpleted $ <br /> Address__ 1367 Lincoln Blvd Is from ft In F.. Fnnnatinn ;Ueseribe hr mLv. <hamcttr. siu material! <br /> Tracy, Ca, Z;p 95 -10 Clay <br /> i31 LOCATION OF R•ELL isminstnlctioa,): 19. -17 Gravel <br /> ou,rty_ San !;0a aUln Oamer's Well Number 1 -21 Cla <br /> \%'01 address if dL'Ferrnl from about 2 —11 Grave <br /> Turn hip Aanc< //��Sectin 31 - Cay <br /> Distance from titles, mads, rails ends, !cotes.etc. �S13 1'1_._V a 1D — e <br /> —n(l -- Fa s� of 7 �.nr7e <br /> I - ra <br /> Clay <br /> (3) TIDE OF WORK: L_ <br /> Ne. Writ $ Deeaenin.+ ❑ <br /> RKV6ftrVChOn ❑ _ <br /> Rr<+srsditiordng ❑ _ <br /> Ifnrivnntal \Cell ❑ <br /> Destruction C (Dtscribe <br /> destrvetinn mx[edals . <br /> pn,crdu,cc in Iters <br /> (d) PROPOSED <br /> Domestic <br /> Irrigatinv O ❑ I <br /> IndtuMal \ ❑ _ � <br /> J 1 <br /> T N'rll ❑ II <br /> Stix _ <br /> hIVnlClp. <br /> \\'ELL LOCATION SKETCH (ithe,heat p (X, _ <br /> fS) EQUIPMENT: (8) ORA\'. ACK: t <br /> Rotas' <br /> Necrose ❑ I Zx No Size <br /> Cable ❑ Air ❑ or <br /> a of be <br /> Other ❑ Bucket _ •m t. <br /> -7, CASINO INSTALLED: 18) ERFORA � ': <br /> Steel ❑ I'l.nic Cn T%o of pe n m .-u,fi scree — <br /> Front ToDia. Ca.- r Fr To - <br /> ft. ft. in. Wall ft. fL si _ <br /> 0 1 0 68 b& a d c - <br /> (9) WELL SEAL: _ <br /> \Cas surfa<e sanitary seal prodded? YesZ No _ If yes, to drpth_ 0 ft. <br /> Were w.c" scict d ar.irot t+,U.tion? Yes ❑ Nn ❑ Imer,'al ft. —_ <br /> ,iMh,d .•f ,rahn_entonite <br /> !Cork .Ixrted L—G __19�SL l;mm�!rtad 19_ <br /> 00i WATER LEVELS: WELL DRILLER'S STATEMENT: <br /> Demb of het water. if kmvm ft This well vas drifted under my iu,l diction and this sport is tn¢ In the beat of my <br /> Sbndine !eget after "'B anmpk[i•� _fL 4rouiedpr and belief. _ ,� <br /> (11) WELL TESTS: SIGNED '- 7V, l'i:C� �%C��(llC_ :� <br /> Was well test made? Yes _ Nn$ If res, by whom? (ll'ell DrdlrU <br /> Ttlr .•f text Pump ❑ Bailer ❑ Air lift ❑ NA\IE—HexLning5_B is inE Co.��s `_.;_ Inc. <br /> Depth e.i water at start of ane fl. At cord of test It �`'_••n. r,, a•• •.ur•u 0 � ....,ed nr ted) <br /> Disoch,ae ••wou. aRe 'I•urre Water temperature Addrcss,�Gl .D21a nc�a3e Ave* p�•� <br /> ' cal analysis made? Yes _ Su 11 yes, by whom? Ci)-_AQ;1aa_1e4�a * yip 50 1 <br /> q <br /> \+as ill<lric Vz made? Yes 0 NO If res, attach fY o T.e N this rc ,rt License \.,.-2 081 <br /> ate of this try, <br /> DWR Iae fREV.7.76, IF ADDITIONAL SPACE IS NEEDED. USE NEXT CONSECUTIVELY NUMBERED FORM <br />