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State of California E �/ <br /> I\ ® D <br /> Well Completion Report <br /> Form DWR 188 Submitted 8/26/2020 <br /> WCR2020-011472 SEP 0 1 2020 <br /> Owner's Well Number Date Work Began 08/04/2020 \ <br /> CAI\/ID t WPpq g202O <br /> O roAE <br /> Local Permit Agency San Joaquin County Environmental Health Department P E R M I T/S E RV I C E S <br /> Secondary Permit Agency Permit Number WP0040950 Permit Date 07/07/2020 <br /> Well Owner(must remain confidential pursuant to Water Code 13752) Planned Use and Activity <br /> Name GOLDEN MEMORIES ASSISTED LIVING,RAJINDER SHARMA Activity New Well <br /> Mailing Address 10350 S. MCKINLEY Planned Use Water Supply Public <br /> City FRENCH CAMP State CA Zip 95231 <br /> Well Location <br /> Address 10350 S MCKINLEY AVE APN 193-280-010 <br /> City FRENCH CAMP Zip 95231 County San Joaquin Township <br /> Latitude 37 51 51.1596 N Longitude -121 16 24.024 W Range <br /> Section <br /> Deg. Min. Sec. Deg. Min. Sec. <br /> Baseline Meridian <br /> Dec. Lat. 37.864211 Dec. Long. -121.27334 Ground Surface Elevation 19 <br /> Vertical Datum Horizontal Datum WGS84 Elevation Accuracy Unknown <br /> Location Accuracy >50 Ft 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 100 (Feet) Date Measured 08/11/2020 <br /> Total Depth of Boring 400 Feet Estimated Yield' (GPM) Test Type Air Lift <br /> Test Length (Hours) Total Drawdown (feet) <br /> Total Depth of Completed Well 380 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 3 TOP SOIL <br /> 3 43 SAND <br /> 43 68 BLUE CLAY <br /> 68 74 SAND <br /> 74 96 CLAY <br /> 96 113 SAND <br /> 113 116 SHALE <br /> 116 154 SAND <br /> 154 181 CLAY <br /> 181 189 SAND <br /> 189 231 CLAY <br /> 231 248 BLUE CLAY <br /> 248 261 SAND <br /> 261 285 BLUE CLAY <br /> 285 301 SAND <br /> Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />