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State of California <br /> Well Completion Report <br /> Form DWR 188 Submitted 8/17/2020 <br /> WCR2020-010830 <br /> Owner's Well Number Date Work Began 08/10/2020 Date Work Ended 08/14/2020 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number 40948 Permit Date 07/06/2020 <br /> Well Owner: must;remain.confdentai ursuant;to Water._Code '37:52 : r Pianned Use.:and.Ac`ivi <br /> � . .p: <br /> #. <br /> Name Jenniger De Jong Activity New Well <br /> Mailing Address P.O.Box 131 Planned Use Water Supply Domestic <br /> City Ripon State CA Zip 95366 <br /> ._ ._ . <br /> Location <br /> Y7 <br /> Wit; Y <br /> Address 16475 Tide RD APN 203-100-17 <br /> City Ripon Zip 95366 County San Joaquin Township 01S <br /> Latitude 37 48 43.6557 N Longitude -121 7 18.0051 W Range 08 E <br /> Section 32 <br /> Deg. Min. Sec. Deg. Min. Sec. Baseline Meridian Mount Diablo <br /> Dec.Lat. 37.8121266 Dec.Long. -121.1216681 Ground Surface Elevation <br /> Vertical Datum Horizontal Datum WGS84 Elevation Accuracy <br /> Location Accuracy Location Determination Method Elevation Determination Method <br /> F. } �, , rp .t<. •�. � «: ..use <br /> Boretiole,lnfoi'rnation -#k Water Leel artitl Y�eid:of..Co Iete;d:Well; <br /> P <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 70 (Feet) Date Measured 08/14/2020 <br /> Total Depth of Boring 330 Feet Estimated Yield* (GPM) Test Type Air Lift <br /> Test Length (Hours) Total Drawdown (feet) <br /> Total Depth of Completed Well 330 Feet *May not be representative of a well's long term yield. <br /> _Geo[o ic;Lo -1=ree;Folrm ;E _ ` <br /> Depth from <br /> Surface Description <br /> Feet to Feet <br /> 0 2 topsoil <br /> 2 30 clay <br /> 30 32 sand <br /> 32 38 clay <br /> 38 49 sand <br /> 49 79 clay <br /> 79 83 sand <br /> 83 97 clay <br /> 97 105 sand <br /> 105 184 clay <br /> 184 188 sand <br /> 188 203 clay <br /> 203 207 sand <br /> 207 217 clay <br /> 217 220 sand <br /> Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />