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State of Califomia <br /> Well Completion Report <br /> Form DWR 188 Submitted 12/3/2018 <br /> WCR2018-010848 <br /> Owners Well Number Date Work Began 11/13/2018 Date Work Ended 11/28/2018 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number 38881 Permit Date 10/10/2018 <br /> Name Manuel Rosas Activity New Well <br /> Mailing Address 2384 Clemente Lane <br /> Punned Use Water Supply Domestic <br /> City Tracy State Ca Zip 95377209 <br /> Address 1739 Piper PL APN 255-310-34 <br /> City Tracy Zip 95304 County San Joaquin Township 03 S <br /> Latitude 37 40 18.9425 N Longitude -121 19 37.0423 W Range 06 E <br /> Section 17 <br /> Deg. Min. Sec. Deg. Min. Sec. <br /> Baseline Meridian Mount Diablo <br /> Dec.Lat. 37.6719285 Dec.Long. -121.3269562 Ground Surface Elevation <br /> Vertical Datum Horizontal Datum WGS84 Elevation Accuracy <br /> Location Accuracy Location Determination Method Elevation Determination Method <br /> �.. Wft <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 35 (Feet) Date Measured 11/27/2018 <br /> Total Depth of Boring 210 Feet Estimated read` (GPM) Test Type <br /> Test Length (Hours) Total Drawdown (feet) <br /> Total Depth of Completed Well 210 Feet *May not be representative of a well's long term yield. <br /> Depth from <br /> Surface Material Type Material Color Material Texture Material Description <br /> Feet to Feet <br /> 0 35 Clay <br /> 35 39 Gravel Medium <br /> 39 73 Clay <br /> 73 78 Sand <br /> 78 89 Clay <br /> 89 95 Sand <br /> 95 122 Clay <br /> 122 125 Sand <br /> 125 171 Clay <br /> 171 179 Sand Gravely <br /> 179 185 Clay <br /> 185 188 Sand <br /> 188 201 Clay <br /> 201 209 Sand <br /> 209 210 Clay <br /> Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />