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State of Califomia <br /> Well Completion Report <br /> Form DWR 188 Submitted 3/2412021 <br /> WCR2021-003812 <br /> Owners Well Number Date Work Began 03/15/2021 Date Work Ended 03/23/2021 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number 41536 Permit Date 12/2112020 <br /> Olt <br /> "PQrs:*u"����,-_-'-,�-'7�*;�."i.�, <br /> an <br /> PIT "y <br /> pl,Am ";Mn,� k' Exp <br /> WL <br /> Name Bryce Perkins Activity New Well <br /> Mailing Address 21021 S.Wagner Rd. Planned Use Water Supply Domestic <br /> City Ripon State CA Zip 95366 <br /> elW <br /> ,;If Locatllow- <br /> Address 21021 S Wagner RD APN 245-210-02 <br /> City Ripon Zip 95366 County San Joaquin Township <br /> Latitude 37 46 5.1394 N Longitude -121 5 24.4031 W Range <br /> Section <br /> Deg. Min. Sec. Deg. Min. Sec. Baseline Meridian <br /> Dec.Lat. 37.7680943 Dec.Long. -121.090112 Ground Surface Elevation <br /> Vertical Datum Horizontal Datum WGS84 Elevation Accuracy <br /> Location Accuracy Location Determination Method Elevation Determination Method <br /> -.BoreholeJ. <br /> t ' L 61,46dil-M- 161d, <br /> Ation, <br /> Orientation Vertical Specify Depth to first water (Feet below surface) <br /> Depth to Static <br /> Drilling Method Other-Mud rotary Drilling Fluid Water <br /> Water Level 46 (Feet) Date Measured 03/2312021 <br /> Total Depth of Boring 240 Feet Estimated Yield* (GPM) Test Type Air Lift <br /> Test Length (Hours) Total Drawdown (feet) <br /> Total Depth of Completed Well 240 Feet *May not be representative of a well's long term yield. <br /> 0 "a" <br /> 010 <br /> Depth from <br /> Surface Description <br /> Feet to Feet <br /> 0 7 topsoil <br /> 7 16 sand <br /> 16 65 clay <br /> 65 84 sand <br /> 84 90 clay <br /> 90 92 sand <br /> 92 97 clay <br /> 97 140 sand <br /> 140 155 clay <br /> 155 166 sand <br /> 166 170 clay <br /> 170 180 sand <br /> 180 225 clay <br /> 225 239 small gravel <br /> 239 240 clay <br /> Form DWR 188 rev. 12/19/2017 Page-1 of <br />