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State of California <br /> Well Completion Report <br /> Form DWR 188 Submitted 10/8/2019 <br /> WCR2019-014151 <br /> Owners Well Number 1 Date Work Began 05/24/2019 Date Work Ended 05/28/2019 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number WP0039630 Permit Date 05/21/2019 <br /> Well Owner(must remain confidential pursuant to Water Code 13752) Planned Use and Activity <br /> Name MICHAEL KELLNER Activity New Well <br /> Mailing Address 641 AMETHYST DR Planned Use Water Supply Domestic <br /> City RIPON State CA Zip 95366 <br /> Well Location <br /> Address 23877 JACKTONE RD APN 228-170-36 <br /> City RIPON Zip 95366 County San Joaquin Township 06S <br /> Latitude 37 26 33.3888 N Longitude -121 50 13.9199 W Range 01 E <br /> Section 02 <br /> Deg. Min. Sec. Deg. Min. Sec. Baseline Meridian Mount Diablo <br /> Dec.Lat. 37.442608 Dec.Long. -121.8372 Ground Surface Elevation 56 <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 30 (Feet) Date Measured 05/28/2019 <br /> Total Depth of Boring 300 Feet Estimated Yield' (GPM) Test Type Air Lift <br /> Test Length (Hours) Total Drawdown (feet) <br /> Total Depth of Completed Well 290 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 66 SAND <br /> 66 103 CLAY <br /> 103 167 SAND <br /> 167 215 BLUE CLAY <br /> 215 223 SAND <br /> 223 226 CLAY <br /> 226 230 SAND <br /> 230 251 CLAY <br /> 251 254 SAND <br /> 254 257 CLAY <br /> 257 264 SAND <br /> 264 281 CLAY <br /> 281 284 SAND <br /> 284 300 CLAY <br /> Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />