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STATE OF CALIFORNIA <br /> ORIGINAL THE RESOURCES AGENCY Do not fill in <br /> File with DWR DEPARTMENT OF WATER RESOURCES <br /> f• <br /> WATER WELL DRILLERS REPORT No. 2 9 O 6 d 8 <br /> it il.4 of [Tit(tit No <br /> Stitt WLll No <br /> Luc d Pcnntt No or Date fgc 88-2861 <br /> Other"tli No <br /> AddressOWNER �� ( ) i <br /> OWNER Nam, r a 12WELL LOG Total depth 402 ft Completed depth-172— ft <br /> Ad <br /> from ft to ft Formation (De%crlbe bs color character sue or material) <br /> C t v-- T a f z f Y <br /> (2) LOCATION OF WELL (See Insti-ttrtions) 10 - <br /> 24 C1 ay <br /> C'ounly San Joaqu-in OSVnLr s Well Nrtmber 24 - <br /> 27 Sand- And =aye] <br /> Well address If different from above _ <br /> 122. Cja�Z <br /> Township - Tracy`Lacy Bang eR an SC uc tone 122 — <br /> 174 S,-4niA <br /> Dintance from cities roads railroads fences etc 174 — <br /> 210 R1 I it- <br /> 212 Sar <br /> (3) 'TYPE OF WORK <br /> New Well li Deepening ❑ — , <br /> Reconstruction ❑ — <br /> v <br /> Reconditioning <br /> Horizontal Well ❑ — ^ <br /> Destruction <br /> ❑ (Describe ��1 • <br /> destruction materials and pro- <br /> cedures in Item 12) <br /> (4) PROPOSED US <br /> Domestic Ri i v. tat <br /> Irrigation v <br /> Industrial \! \�� ❑ <br /> Test Well <br /> Other <br /> WELL LOCATION SKETCH <br /> t5) cQUIFL9ENT r6) GRAVEL PACK <br /> Rotary Reverse ❑ eq�{ No's} Sizq` ri•'• �/) <br /> Cable ❑ Aa ❑ ,eteet,pf bore <br /> t <br /> Other ❑ Buckf ced}romIon 72 \ <br /> \ <br /> (7) CASING INSTALLED (S) FERF94s,ATIONS _ <br /> steel ❑ Plastic nheF¢ Ty of# fo on or size of <br /> From T i Gage or T t <br /> ft ft ) Wall t size _ <br /> 7 302 - <br /> (9) WELL SEAL _ <br /> Was surface sanitary seal provideO Yea= No ❑ depth--•�If yes to Q_ft _ <br /> Were strata sealed against pollutrnnp Yes ElNo C1 Interval ft — <br /> Met hod ofscaling Work started t9Completed <br /> (!0) WATER LEVELS <br /> t9—gg <br /> Depthof first water if known {t WELL DRILLER S ST\TFNvIENT <br /> Standing level after w(-Il compit tion I his wf ll Iva¢ drills d rutdf r my )urtsdtcttnrt and lhts report is true to the <br /> ft bes' of rnp kI,al"Idge r Id in ht f <br /> (11) WELL TESTS 111111y <br /> W w,.li test made,' Yes ❑ Nn si rned� <br /> ❑ if yea by whom $]t][ <br /> f teat (W,Il Drills r) <br /> Pump ❑ Rader 0 Air left NA'v11,. <br /> to witer at%tart of test It %I encs of test ft <br /> (Ptrson term nr curporanon)(Tvl)ed or pnnt,-d) <br /> Dochirgt gal/thin after hours Walt r it nilx r dare Addrtss T <br /> ( hr-1-1 analysts made Yes ❑ No ❑ rf v,s by whoirrO <br /> bVas r It etrrc Ir made f ity- ���eE!�`7—� 7IP �,�_ <br /> g Yes ❑ No ❑ If vt-s attach i opv to this rt Ix)rt I v cnse- Nn Datt of this relwrt ��-1 Q <br /> 819 <br /> OWR t88 (REV 12 E6) IF ADDITIONAL SPACE IS NEEDED USE NEXT CONSECUTIVELY NUMBERED FORM <br /> 86 96335 <br />