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State of California <br /> Well Completion Report <br /> Form DWR 188 Submitted 5/18/2020 <br /> WCR2020-006381 <br /> Owner's Well Number Date Work Began 05/14/2020 Date Work Ended 05/15/2020 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number wp0040799 Permit Date 05/07/2020 <br /> Well Owner(must remain confidential pursuant to Water Code 13752) Planned Use and Activity <br /> Name ANTHONY MARTIN Activity New Well <br /> Mailing Address 12509 S HWY 99 Planned Use Water Supply Domestic <br /> City MANTECA State CA Zip 95336 <br /> Well Location <br /> Address 12509 S ST.RTE 99 W FRONTAGE RD APN 204-050-120 <br /> City MAN Zip 95336 County San Joaquin <br /> Township 01 S <br /> Latitude 37 51 1.2852 N Longitude -121 13 7.9139 W Range 07 E <br /> Section 17 <br /> Deg. Min. Sec. Deg. Min. Sec. Baseline Meridian Mount Diablo <br /> Dec.Lat. 37.850357 Dec.Long. -121.218865 Ground Surface Elevation 31 <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 46 (Feet) Date Measured 05/15/2020 <br /> Total Depth of Boring 300 Feet Estimated Yield' (GPM) Test Type Air Lift <br /> Test Length (Hours) Total Drawdown (feet) <br /> Total Depth of Completed Well 280 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 5 SAND <br /> 5 15 CLAY <br /> 15 37 SAND <br /> 37 51 CLAY <br /> 51 98 SHALE <br /> 98 102 SAND <br /> 102 217 CLAY <br /> 217 232 SAND <br /> 232 238 CLAY <br /> 238 250 SAND MAY 2 0 20 <br /> 250 255 CLAY <br /> 255 261 BLUE CLAY L HEALTH <br /> 261 278 GRAY SAND - <br /> 278 300 BLUE CLAY <br /> Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />