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1 <br /> Division of Resources Planning <br /> Water Well„Construction and Sanitary Survey <br /> State No, 2S 5E 21MI M.D. County SAN JOAQUIN COUNTY <br /> Investigation S. J. CO. WELL STDS. G.W. BaAF ic"C "r ' Guay -5-2'Noe <br /> Region U.S.G.S. Quad Scale <br /> Ovner City of Tracy Address citz Hall <br /> Location <br /> Use Municipal Depth 432 Diameter Method of Cable Gravel <br /> const. Packed <br /> 1. Distance from contamination None Log Source <br /> Source <br /> ?. Drainage toward casing Log no Source <br /> away <br /> subject to flooding Casing type <br /> well pit Casing seat <br /> 3. Type of platform wood Casing depth <br /> concrete x <br /> metal Type point <br /> pump mounted on casing <br /> not on casing Annular seals Depth <br /> 4. Height of casing Conductor pipe Depth <br /> above ground surface ? <br /> Casing Reduction5. Seal between casing ? <br /> and platform Perforations type <br /> 6. Seal between pump base Famarks <br /> and platform Yes <br /> 7. Seal between casing <br /> and down pipe <br /> (pimp off-set) <br /> Mineral Analysis <br /> $. Wel] vent no if s o, Date <br /> screened <br /> 9. Measur,_ng hole Yes <br /> if so, capped Yes Bacterial Analysis <br /> Date <br /> 10. Evidence of oil l caking <br /> into Drell no <br /> ell. Can bacterial sample be <br /> taken at well .9e s <br /> 12. Sample Po-int tap at well <br /> Remarks <br />