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n l- a - , , ' - i <br /> �Orc—,N AL <br /> WATER WELL DRILLERS REPORT Do Not Fill In <br /> Fife Original Oupllcate and Triplicate tO the rsr.[ron, '07. -u'- 7o's w.ter cadre J, 1 9277 <br /> REGIONAL WATER?u_LUTION to <br /> i <br /> CONTROL BOARD No STATE OF CALIFORNIA <br /> r�f t ,r .PPr�trr,r s..abrrl 0Chc-D7cII`o <br /> OWNER (1 1) WELL LOG <br /> V11711L T. W. Hintz Tr,. dr,,h 212 Dr^,ti ,r.amrrrtcd —11 199 <br /> Address 1000 Central Ave. F'rma ion Detrnbr byr 6erar err r or "ter,t< rad r ,air." <br /> Tracy, California 1 f[ „ 41� f `'oD Soil <br /> 10 30 Clay, an trea s <br /> (2) LOCATION OF WELL 0 ._ 3S Clay <br /> Caan[e San Joaquin #2 <br /> 35 ..— 0 Sand <br /> R F D ar�,rtat \0 0 <br /> Clay <br /> 300 ft. north of Grafi Lane Road_ _ 0 90 Clay, Sand Streaks <br /> betty - 90 105 C 1 a <br /> 105 120 Clay, Sand Streaks <br /> 120 I Cla _. _ <br /> 178 —1.91 Gravel_& Sand_ <br /> (3) TYPE OF WORK (cbeck) 191 212 Ela <br /> New well XDeepening ElRcrandusonong C Abandon <br /> I f abandonment describe malrrtal and procedure in I irm 17 <br /> (4) PROPOSED USE (check) (5) EQUIPMENT <br /> Domestic ❑ Industrial ❑ Municipal ❑ Rotary <br /> Irngation X Test Well [❑ Other ❑ Cable <br /> El <br /> Dug Well ❑ <br /> (S) CASING INSTALLED If gravel packed <br /> SINGLE 5d DOUBLE W G.6e <br /> or <br /> Dumerer from to <br /> From 1 ([ to 199 f[12 D— W.11 of Bore it f[ v i <br /> epi.rid,rr of.6«ar.ell ring <br /> Open Cone* s,zr of sr—d X one on O toITI a 5 open1ff <br /> Ducrsbe�o.a[ Welded <br /> (7) PERFORATIONS — <br /> Trpc of perfor.cor aced M111 Slot <br /> Size of s—f—uom 2 ,n lt-gtb by5132 .a <br /> From Pert parr Rc va Prr n <br /> 59 194+ 3 12 <br /> (8) CONSTRUCTION <br /> m., a rvrf.xe r.Drury —.1 p—A,,dt Q Y. X Vo To sn.r i,p.h ft <br /> Wer or.u....eded .6..n.[poll otion2 ❑ Yo X1 4o if yes aatt depth of,tr.ca <br /> From ate f, <br /> Method of Sealing N eine 1 = W-k--,1 9-1 9 eow,Ple<d 9-10-55 1 <br /> (9) WATER LEVELS _ W FLI DRILLERS STI�TEME\T <br /> Tbrs well was drilled urcrr my lunsdrrthon and this repo.e AS frac to the b, <br /> Dcpt6 . -►.c6.x.ur —F,,,faded 16 ft my knowledte and belts/ <br /> SxceGtai lc�d btlar<pvfar.trai .. 16 f` NAME Hoxk.aWell & Equipment <br /> 0 ..d..,,br+.l.feet perforacagx Y...� Co, <br /> 1.6 ft iY erm r cor�ci.uw, I YPrJ or A—Jed) <br /> Addrees P. Box 2,1A <br /> / <br /> (1 o) WELL TESTS <br /> W... pamp u.t a„da[ )v Y. 0 No if 7- by shims Self n � I <br /> Yield 640 jr.l/min +nh 60fe dna devn .f ce�5_3�A� tSIG NEO] �5.� _ 1 <br /> Tnnp,rr.r„re a[vrcrr Well D-11, <br /> `sr.,.c6cmrc.l an.lyr,s ta.dtl 0 Yn R Na License No 12.030,[. Dated Sept. 13 ' 19 L <br /> �+ rar c 1nx m d of—117 lF7 Ye. 'fall' do ..... a s. ear,auiry 'l aro Fv <br /> OWR Foor,. Nn ?des <br />