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State of California R C L C I V E I) <br /> Well Completion Report <br /> Form DWR 188 Submitted 8/30/2019 SEP 16 20lg <br /> WC R2019-012445 <br /> LNVjR0NNI <br /> LUE <br /> Owner's Well Number 1 Date Work Began 08/22/2019 D�tg yy� edtl, M019 <br /> Local Permit Agency San Joaquin County Environmental Health Department �'tt ` L f� <br /> Secondary Permit Agency Permit Number wp0039811 Permit Date 07/12/2019 <br /> Well Owner(must remain confidential pursuant to Water Code 13752) Planned Use and Activity <br /> Name KATHLEEN ROBIDART Activity New Well <br /> Mailing Address 21750 E.BRANDT RD <br /> Planned Use Water Supply Domestic <br /> City LODI State CA Zip 95240 <br /> Well Location <br /> Address 21750 E BRANDT RD APN 053-230-03 <br /> City LODI Zip 95240 County San Joaquin Township 12 N <br /> Latitude 38 51 1.548 N Longitude -121 23 43.44 W Range 05 E <br /> Section 35 <br /> Deg. Min. Sec. Deg. Min. Sec. Baseline Meridian Mount Diablo <br /> Dec.Lat. 38.85043 Dec.Long. -121.3954 Ground Surface Elevation 238 <br /> Vertical Datum Horizontal Datum WGS84 Elevation Accuracy Unknown <br /> Location Accuracy Unknown Location Determination Method Other Elevation Determination Method Digital Aerial Photo <br /> Borehole Information Water Level and Yield of Completed Well <br /> Orientation Vertical Specify Depth to first water (Feet below surface) <br /> Drilling Method Direct Rotary Drilling Fluid Bentonite Depth to Static <br /> Water Level 248 (Feet) Date Measured 08/23/2019 <br /> Total Depth of Boring 430 Feet Estimated Yield' (GPM) Test Type Air Lift <br /> Test Length (Hours) Total Drawdown (feet) <br /> Total Depth of Completed Well 400 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 3 TOP SOIL <br /> 3 4 HARDPAN <br /> 4 16 SAND <br /> 16 26 CLAY <br /> 26 32 SAND AND GRAVEL <br /> 32 48 GRAVEL&ROCKS <br /> 48 73 CLAY <br /> 73 76 SAND <br /> 76 193 CLAY <br /> 193 208 SAND <br /> 208 223 CLAY <br /> 223 225 SAND <br /> 225 253 CLAY <br /> 253 263 SAND <br /> 263 290 CLAY <br /> Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />