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State of California <br />Well Completion Report <br />Form DWR 188 Submitted 7/21/2021 <br />WCR2021-009118 <br />Owner's Well Number Date Work Began 03/25/2021 <br />Local Permit Agency San Joaquin County Environmental Health Department <br />Secondary Permit Agency Permit Number WP0041721 <br />Well Owner (must remain confidential pursuant to Water Code 13752) <br />Name MARY CAIN <br />Mailing Address 7555 COUNTRY RD <br />City STOCKTON State CA Zip 95215 I I <br />Well Location <br />Date Work Ended 03/26/2021 <br />Permit Date 02/19/2021 <br />Planned Use and Activity <br />Activity New Well <br />Planned Use Water Supply Domestic <br />Address 7555 COUNTRY RD APN 185-140-300 <br />City STOCKTON Zip 95215 County San Joaquin Township 01 N <br />Latitude 37 53 59.2907 N Longitude -121 4 27.4979 W Range 08 E <br />Section 27 <br />Deg. Min. Sec. Deg. Min. Sec. <br />Baseline Meridian Mount Diablo <br />Dec. Lat. 37.899803 Dec. Long. -121.074305 <br />Ground Surface Elevation 83 <br />Vertical Datum Horizontal Datum WGS84 Elevation Accuracy Unknown <br />Location Accuracy Unknown Location Determination Method GPS Elevation Determination Method Digital Aerial Photo <br />Borehole Information <br />Depth from <br />Surface <br />Feet to Feet <br />Water Level and Yield of Completed Well <br />Orientation Vertical <br />Specify <br />Depth to first water (Feet below surface) <br />CLAY <br />27 30 <br />Depth to Static <br />Drilling Method Direct Rotary Drilling Fluid <br />Bentonite <br />Water Level 120 (Feet) Date Measured 03/26/2021 <br />Estimated Yield" (GPM) Test Type Air Lift <br />SAND <br />Total Depth of Boring 270 <br />Feet <br />Test Length (Hours) Total Drawdown (feet) <br />Total Depth of Completed Well 270 <br />Feet <br />*May not be representative of a well's long term yield. <br />Geologic Log - Free Form <br />Depth from <br />Surface <br />Feet to Feet <br />Description <br />0 6 <br />SHALE <br />6 27 <br />CLAY <br />27 30 <br />SAND <br />30 33 <br />SHALE <br />33 39 <br />SAND <br />39 115 <br />CLAY <br />115 117 <br />SAND <br />117 140 <br />CLAY <br />140 156 <br />SAND <br />156 163 <br />SHALE <br />163 172 <br />SAND <br />172 205 <br />CLAY <br />205 215 <br />SAND <br />215 220 <br />SHALE <br />220 245 j <br />GRAVEL AND SAND <br />Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />