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State of California <br /> OCT 2 6 X020 Well Completion Report <br /> Form DWR 188 Submitted 10/22/2020 <br /> Chl�IRONMENTAL HEALTH WCR2020-015005 <br /> ITISER\jICES <br /> Owner's Well Number PERM Date Work Began 09/18/2020 Date Work Ended 09/21/2020 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number WP0041091 Permit Date 08/14/2020 <br /> Well Owner(must remain confidential pursuant to Water Code 13752) Planned Use and Activity <br /> Name 5 RIVERS FARMING,ALEX MARION ETAL Activity New Well <br /> Mailing Address 1403 VISTA DR <br /> Planned Use Water Supply Irrigation- <br /> Agriculture <br /> City LODI State CA Zip 95242 <br /> Well Location <br /> Address 13655 N DEVRIES RD APN 055-170-090 <br /> City LODI Zip 95242 County San Joaquin Township <br /> Latitude 38 6 10.5623 N Longitude -121 21 13.7628 W Range <br /> Section <br /> Deg. Min. Sec. Deg. Min. Sec. <br /> Baseline Meridian <br /> Dec. Lat. 38.102934 Dec.Long. -121.353823 Ground Surface Elevation 19 <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 54 (Feet) Date Measured 09/21/2020 <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 19 SAND <br /> 19 34 SHALE <br /> 34 42 SAND <br /> 42 77 CLAY <br /> 77 81 GRAVEL <br /> 81 91 CLAY <br /> 91 102 SAND <br /> 102 105 CLAY <br /> 105 128 SAND <br /> 128 132 CLAY <br /> 132 184 SAND <br /> 184 216 BLUE CLAY <br /> 216 230 BLUE SAND <br /> 230 236 GREY SAND <br /> Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />