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State of California <br /> Well Completion Report <br /> Form DWR 188 Submitted 11/13/2019 <br /> WCR2019-016228 <br /> Owner's Well Number Date Work Began 10/14/2019 Date Work Ended 10/18/2019 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number wp00040129 Permit Date 09/26/2019 <br /> Well Owner (must remain confidential pursuant to Water Code 13752) Planned Use and Activity <br /> Name JOHN VAN DUYN Activity New Well <br /> Mailing Address 15917 E SANTOS AVENUE Planned Use Water Supply Irrigation- <br /> Agriculture <br /> City RIPON State CA Zip 95366 <br /> Well Location <br /> Address 15917 E SANTOS AVE APN 245-180-080 <br /> City RIPON Zip 95366 County San Joaquin Township 02S <br /> Latitude 37 45 33.64 N Longitude -121 6 44.03 W Range 08 E <br /> Section 17 <br /> Deg. Min. Sec. Deg. Min. Sec. Baseline Meridian Mount Diablo <br /> Dec.Lat. 37.7593444 Dec.Long. -121.1122306 Ground Surface Elevation 70 <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 56 (Feet below surface) <br /> Drilling Method Other-MUD Drilling Fluid Bentonite Depth to Static <br /> ROTARY Water Level (Feet) Date Measured <br /> Estimated Yield* (GPM) Test Type <br /> Total Depth of Boring 400 Feet Test Length (Hours) Total Drawdown (feet) <br /> Total Depth of Completed Well 400 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 4 SAND <br /> 4 26 COARSE SAND <br /> 26 42 SAND <br /> 42 48 COARSE SAND <br /> 48 56 LIGHT BROWN CLAY <br /> 56 58 SAND <br /> 58 62 CLAY <br /> 62 112 COARSE SAND <br /> 112 126 SMALL GRAVEL <br /> 126 171 CLAY <br /> 171 186 SMALL GRAVEL <br /> 186 210 CLAY <br /> 210 272 SAND <br /> 272 311 COARSE SAND/SMALL GRAVEL <br /> Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />