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State of California <br /> Well Completion Report <br /> Form DWR 188 Submitted 6/29/2020 <br /> WCR2020-008088 <br /> Owner's Well Number Date Work Began 06/16/2020 Date Work Ended 06/17/2020 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number WP0040865 Permit Date 06/04/2020 <br /> Well Owner(must remain confidential pursuant to Water Code 13752) Planned Use and Activity <br /> Name LORI HANSEN Activity New Well <br /> Mailing Address 25712 E MAHON AVE <br /> Planned Use Water Supply Domestic <br /> City ESCALON State CA Zip 95320 <br /> Well Location <br /> Address 25715 E MAHON AVE APN 227-020-180 <br /> City ESCALON Zip 95320 County San Joaquin Township <br /> Latitude 37 48 35.7191 N Longitude -120 59 39.4476 W Range <br /> Section <br /> Deg. Min. Sec. Deg. Min. Sec. <br /> Baseline Meridian <br /> Dec.Lat. 37.809922 Dec.Long. -120.994291 Ground Surface Elevation 132 <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 92 (Feet) Date Measured 06/17/2020 <br /> Total Depth of Boring 315 Feet Estimated Yield* (GPM) Test Type Air Lift <br /> Test Length (Hours) Total Drawdown (feet) <br /> Total Depth of Completed Well 300 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 TOP SOIL <br /> 4 16 SAND&GRAVEL <br /> 16 39 CLAY <br /> 39 64 SAND <br /> 64 96 CLAY <br /> 96 106 GRAVEL <br /> 106 107 CLAY ?°A p <br /> 107 108 SAND <br /> 108 116 CLAY <br /> 116 119 SAND ?_ <br /> 119 174 CLAY <br /> 174 180 SAND <br /> 180 244 CLAY <br /> 244 248 SAND <br /> 248 265 CLAY <br /> Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />