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t <br /> State of California <br /> Well Completion Report <br /> Form DWR 188 Submitted 10/9/2019 <br /> WCR2019-014251 <br /> Owner's Well Number 1 Date Work Began 10/07/2019 Date Work Ended 10/09/2019 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number wp0040133 Permit Date 09/27/2019 <br /> Well Owner(must remain confidential pursuant to Water Code 13752) Planned Use and Activity <br /> Name THERESA AZEVEDO Activity New Well <br /> Mailing Address 16709 E.ELSHOLZ RD Planned Use Water Supply Domestic <br /> City RIPON State CA Zip 95366 <br /> Well Location <br /> Address 16709 E ELSHOLZ RD APN 203-220-03 <br /> City RIPON Zip 95366 County San Joaquin Township 06S <br /> Latitude 37 26 17.8224 N Longitude -121 36 58.932 W Range 03 E <br /> Section 02 <br /> Deg. Min. Sec. Deg. Min. Sec. <br /> Baseline Meridian Mount Diablo <br /> Dec.Lat. 37.438284 Dec.Long. -121.61637 Ground Surface Elevation 74 <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 72 (Feet) Date Measured 10/09/2019 <br /> Total Depth of Boring 270 Feet Estimated Yield' (GPM) Test Type Air Lift <br /> Test Length (Hours) Total Drawdown (feet) <br /> Total Depth of Completed Well 230 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 17 SAND <br /> 17 42 CLAY <br /> 42 56 SAND <br /> 56 117 CLAY <br /> 117 135 SHALE <br /> 135 149 SAND <br /> 149 159 CLAY <br /> 159 163 SAND <br /> 163 173 CLAY <br /> 173 .179 SAND <br /> 179 185 CLAY <br /> 185 189 SAND <br /> 189 192 CLAY <br /> 192 205 SAND <br /> Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />