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State of California <br /> Well Completion Report <br /> Form DWR 188 Submitted 12/4/2019 <br /> WCR2019-017181 <br /> Owner's Well Number 1 Date Work Began 11/13/2019 Date Work Ended 11/15/2019 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number WP0040278 Permit Date 11/06/2019 <br /> Well Owner(must remain confidential pursuant to Water Code 13752) Planned Use and Activity <br /> Name MOORMANS WATER SYSTEMS, Activity New Well <br /> Mailing Address 2120 WILCOX RD <br /> Planned Use Water Supply Domestic <br /> City STOCKTON State CA Zip 95215 <br /> Well Location <br /> Address 4219 BLUESTONE CT APN 005-360-09 <br /> City ACAMPO Zip 95220 County San Joaquin Township 03 N <br /> Latitude 38 7 23.7971 N Longitude -121 9 21.3947 W Range 07 E <br /> Section 12 <br /> Deg. Min. Sec. Deg. Min. Sec. Baseline Meridian Mount Diablo <br /> Dec. Lat. 38.123277 Dec.Long. -121.155943 Ground Surface Elevation 58 <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 102 (Feet) Date Measured 11/15/2019 <br /> Estimated Yield" (GPM) Test Type Air Lift <br /> Total Depth of Boring 270 Feet Test Length (Hours) Total Drawdown (feet) <br /> Total Depth of Completed Well 240 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 33 CLAY <br /> 33 67 SAND <br /> 67 126 CLAY <br /> 126 130 SAND <br /> 130 154 CLAY <br /> 154 158 SAND <br /> 158 194 CLAY <br /> 194 196 SAND <br /> 196 213 CLAY <br /> 213 216 SAND <br /> 216 234 CLAY <br /> 234 237 SAND <br /> 237 242 CLAY <br /> 242 246 SAND <br /> Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />