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State of California <br /> Well Completion Report <br /> Form DWR 188 Submitted 11/15/2018 <br /> WCR2018-010385 <br /> Owner's Well Number Date Work Began 10/22/2018 Date Work Ended 11/02/2018 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number 38819 Permit Date 09/28/2018 <br /> Well Owner (must remain confidential pursuant to Water Code 13752) Planned Use and Activity <br /> Name Maria Pallavicini Activity New Well <br /> Mailing Address 11707 North Alpine Road Planned Use Water Supply Domestic <br /> City Lodi State Ca Zip 95240 <br /> Well Location <br /> Address 11707 N Alpine RD APN 061-160-31 <br /> City Lodi Zip 95240 County San Joaquin Township 03 N <br /> Latitude 38 4 48.4528 N Longitude -121 12 56.4667 W Range 07 E <br /> Section 28 <br /> Deg. Min. Sec. Deg. Min. Sec. <br /> Baseline Meridian Mount Diablo <br /> Dec.Lat. 38.0801258 Dec.Long. -121.2156852 Ground Surface Elevation <br /> Vertical Datum Horizontal Datum WGS84 Elevation Accuracy <br /> Location Accuracy Location Determination Method Elevation Determination Method <br /> Borehole Information Water Level and Yield of Completed Well <br /> Orientation Vertical Specify Depth to first water (Feet below surface) <br /> Drilling Method Other-mud rotary Drilling Fluid Water Depth to Static <br /> Water Level 108 (Feet) Date Measured 11/02/2018 <br /> Total Depth of Boring 300 Feet Estimated Yield* (GPM) Test Type <br /> Test Length (Hours) Total Drawdown (feet) <br /> Total Depth of Completed Well 300 Feet *May not be representative of a well's long term yield. <br /> Geologic Log - Lite <br /> Depth from <br /> Surface Material Type Material Color Material Texture Material Description <br /> Feet to Feet <br /> 0 1 Soil or Organic <br /> 1 2 Soil or Organic Clayey <br /> 2 5 Clay Hard <br /> 5 10 Clay Hard with sand streaks <br /> 10 15 Clay W/Shale <br /> 15 25 Clay W/Sand <br /> 25 30 Sand W/Clay <br /> 30 40 Clay <br /> 40 43 Sand <br /> 43 60 Clay <br /> 60 65 Sand <br /> 65 82 Clay <br /> 82 84 Sand <br /> 84 94 Clay <br /> 94 98 Sand <br /> Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />