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State of California RECEIVED <br /> Well Completion Report <br /> Form DWR 188 Submitted 8/2/2019 SEP 16 2019 <br /> WCR2019-010804 2��� t. N T `' r` <br /> Owner's Well Number Date Work Began 04/25/2019 ENV I IQat�'WjACEYitl I, It 1L"6/2V1911 <br /> Local Permit Agency San Joaquin County Environmental Health Department I)ETAIZl \lEN i <br /> Secondary Permit Agency Permit Number wp0039529 Permit Date 04/22/2019 <br /> Well Owner(must remain confidential pursuant to Water Code 13752) Planned Use and Activity <br /> Name ALICE PEREIRA, Activity New Well <br /> Mailing Address 27181 E.CARTER RD <br /> Planned Use Water Supply Domestic <br /> City ESCALON State CA Zip 95320 <br /> Well Location <br /> Address 27052 CARTER RD APN 207-050-010 <br /> City ESCALON Zip 95320 County San Joaquin Township 05S <br /> Latitude 37 3151.4775 N Longitude -120 35 6.4392 fin/ Range 13 E <br /> Section 06 <br /> Deg. Min. Sec. Deg. Min. Sec. Baseline Meridian Mount Diablo <br /> Dec. Lat. 37.530966 Dec.Long. -120.585122 Ground Surface Elevation 119 <br /> Vertical Datum Horizontal Datum WGS84 Elevation Accuracy Unknown <br /> Location Accuracy Unknown Location Determination Method Digital Elevation Elevation Determination Method Digital Aerial Photo <br /> Borehole Information Water Level and Yield of Completed Well <br /> Depth to first water (Feet below surface <br /> Orientation Vertical Specify ) <br /> Drilling Method Direct Rotary Drilling Fluid Bentonite Depth to Static <br /> Water Level 124 (Feet) Date Measured 04/26/2019 <br /> Total Depth of Boring 310 Feet Estimated Yield* 60 (GPM) Test Type Air Lift <br /> Test Length (Hours) Total Drawdown (feet) <br /> Total Depth of Completed Well 270 Feet *May not be representative of a well's long term yield. <br /> Geologic Log - Free Form <br /> Depth from <br /> Surface Description <br /> Feet to Feet <br /> 0 2 TOP SOIL <br /> 2 5 HARD PAN <br /> 5 18 SAND AND GRAVEL <br /> 18 26 CLAY <br /> 26 76 SAND AND GRAVEL <br /> 76 146 CLAY <br /> 146 163 GRAVEL <br /> 163 170 CLAY <br /> 170 175 BLACK SAND <br /> 175 202 CLAY <br /> 202 208 BLACK SAND <br /> 208 233 CLAY <br /> 233 243 SHALE <br /> 243 245 BLACK SAND <br /> 245 256 SHALE <br /> Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />