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State of California <br /> Well Completion Report <br /> Form DWR 188 Submitted 8/26/2020 <br /> WC R2020-011442 <br /> Owner's Well Number Date Work Began 08/12/2020 Date Work Ended 08/13/2020 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number WP0040977 Permit Date 07/15/2020 <br /> Well Owner(must remain confidential pursuant to Water Code 13752) Planned Use and Activity <br /> Name CAROLYN ATKINSON Activity New Well <br /> Mailing Address PO BOX 550 <br /> Planned Use Water Supply Domestic <br /> City CLEMENTS State CA Zip 95227 <br /> Well Location <br /> Address 0 BUENA VISTA RD APN 021-210-270 <br /> City CLEMENTS Zip 95227 County San Joaquin Township <br /> Latitude 38 13 34.2191 N Longitude -120 2 33.5076 W Range <br /> Section <br /> Deg. Min. Sec. Deg. Min. Sec. <br /> Baseline Meridian <br /> Dec. Lat. 38.226172 Dec. Long. -120.042641 Ground Surface Elevation 207 <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 152 (Feet) Date Measured 08/13/2020 <br /> Total Depth of Boring 390 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 43 HARD SHALE <br /> 43 50 SAND <br /> 50 71 SHALE <br /> 71 86 SAND <br /> 86 94 SHALE <br /> 94 100 SAND <br /> 100 104 SHALE <br /> 104 115 CLAY <br /> 115 131 SHALE <br /> 131 135 SAND <br /> 135 280 SHALE <br /> 280 295 SAND <br /> 295 298 SHALE <br /> 298 307 SAND <br /> 307 311 BLUE SAND <br /> Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />