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State of Califomia <br /> Well Completion Report <br /> Form DWR 188 Submitted 12/16/2019 <br /> WCR2019-017585 <br /> Owner's Well Number Date Work Began 11/18/2019 Date Work Ended 11/27/2019 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number 38621/39924 Permit Date 08/05/2019 <br /> Well Owner(must remain confidential pursuant to Water Code 13752). Planned Use and Activity <br /> Name Kornai 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 Comoletod Well <br /> Orientation Vertical Specify Depth to first water 98 (Feet below surface) <br /> Drilling Method Other-mud rotary Drilling Fluid Water Depth to Static <br /> Water Level (Feet) Date Measured 11/27/2019 <br /> Total Depth of Boring 420 Feet Estimated Yield` (GPM) Test Type Air Lift <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 7 clay <br /> 7 40 sand <br /> 40 120 clay <br /> 120 136 sand <br /> 136 154 clay <br /> 154 158 sand <br /> 158 395 clay <br /> 395 402 sand <br /> 402 406 clay <br /> 406 420 sand <br /> Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />