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,CEI r E State of California <br /> Z 0 2019Well Completion Report <br /> Form DWR 188 Submitted 2/12/2019 <br /> WCR2019-002168 <br /> LNVIRONMENTAL HEALTH <br /> Owner's Well Number PERMIT/SERVICES Date Work Began 01/28/2019 Date Work Ended 02/06/2019 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number 39168 Permit Date 01/07/2019 <br /> Well Owner (must remain confidential pursuant to Water Code 13752) Planned Use and Activity <br /> Name Eunice Voortman Activity New Well <br /> Mailing Address 26754 E.Jones Ave. Planned Use Water Supply Domestic <br /> City Escalon State Ca Zip 95320 <br /> Well Location <br /> Address 26754 E Jones AVE APN 247-180-05 <br /> City Escalon Zip 95320 County San Joaquin Township 02S <br /> Latitude 37 46 22.7611 N Longitude -120 58 50.2409 W Range 09 E <br /> Section 09 <br /> Deg. Min. Sec. Deg. Min. Sec. Baseline Meridian Mount Diablo <br /> Dec.Lat. 37.7729892 Dec.Long. -120.9806225 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 68 (Feet) Date Measured 02/05/2019 <br /> Total Depth of Boring 250 Feet Estimated Yield* (GPM) Test Type <br /> Test Length (Hours) Total Drawdown (feet) <br /> Total Depth of Completed Well 250 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 30 Sand <br /> 30 33 Clay <br /> 33 38 Sand <br /> 38 93 Clay <br /> 93 106 Sand <br /> 106 117 Clay <br /> 117 123 Sand <br /> 123 128 Clay <br /> 128 134 Sand <br /> 134 147 Clay <br /> 147 149 Sand <br /> 149 184 Clay <br /> 184 188 Sand <br /> 188 193 Clay <br /> 193 198 Sand <br /> Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />