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State of California <br /> Well Completion Report <br /> Form DWR 188 Submitted 12/1612019 <br /> WCR2019-017587 <br /> Owner's Well Number Date Work Began 07/23/2018 Date Work Ended 08/0612018 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number 38338 Permit Date 05/25/2018 <br /> Well Owner(must remain confidential pursuant to Water Code 13752) Planned Use and Activity <br /> Name Komal Atwal Activity New Well <br /> Mailing Address 3701 W.Linne rd. Planned Use Water Supply Domestic <br /> City Tracy State CA Zip 95304 <br /> Well Location <br /> Address 28488 S Bird RD APN 239-200-13 <br /> City Tracy Zip 95304 County San Joaquin Township 03S <br /> Latitude 37 41 49.8188 N Longitude -121 21 41.428 W Range 05 E <br /> Section 01 <br /> Deg. Min. Sec. Deg. Min. Sec. Baseline Meridian Mount Diablo <br /> Dec.Lat. 37.6971719 Dec.Long. -121.3615078 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 (Feet) Date Measured <br /> Total Depth of Boring 420 Feet Estimated Yield' (GPM) Test Type <br /> Test Length (Hours) Total Drawdown (feet) <br /> Total Depth of Completed Well 420 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 topsoil <br /> 2 16 small gravel <br /> 16 50 clay <br /> 50 58 sand <br /> 58 152 clay <br /> 152 162 sand <br /> 162 195 clay <br /> 195 198 sand <br /> 198 365 clay <br /> 365 374 sand <br /> 374 400 clay <br /> 400 420 sand <br /> Form DWR 188 rev. 12/19/2017 Page-L of-L <br />