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State of California <br />Well Completion Report <br />Form DWR 188 Submitted 7/21/2021 <br />WCR2021-009135 <br />Owner's Well Number Date Work Began 04/22/2021 <br />Local Permit Agency San Joaquin County Environmental Health Department <br />Secondary Permit Agency Permit Number WPO41796 <br />Well Owner (must remain confidential pursuant to Water Code 13752) <br />Name MARY FRANZIA <br />Mailing Address 20100 ZUMWALT RD <br />City ESCALON <br />State CA Zip 95320 <br />Well Location <br />Date Work Ended 04/23/2021 <br />Permit Date 03/11/2021 <br />Planned Use and Activity <br />Activity New Well <br />Planned Use Water Supplv Domestic <br />Address 20655 AYERS RD APN 205-090-380 <br />City ESCALON Zip 95320 County San Joaquin Township 01S <br />Latitude 37 48 41.9003 N Longitude -121 3 24.3539 W Range 08 E <br />Section 35 <br />Deg. Min. Sec. Deg. Min. Sec. <br />Baseline Meridian Mount Diablo <br />Dec. Lat. 37.811639 Dec. Long. -121.056765 Ground Surface Elevation 90 <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 <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 />HARD PAN <br />8 23 <br />Depth to Static <br />Drilling Method Direct Rotary Drilling Fluid <br />Bentonite <br />30 35 <br />SAND <br />35 60 <br />Water Level 80 (Feet) Date Measured 04/23/2021 <br />Estimated Yield* (GPM) Test Type Air Lift <br />60 88 <br />Total Depth of Boring 398 <br />Feet <br />CLAY <br />93 103 <br />SAND <br />Test Length (Hours) Total Drawdown (feet) <br />Total Depth of Completed Well 382 <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 4 <br />TOP SOIL <br />4 8 <br />HARD PAN <br />8 23 <br />SAND <br />23 30 <br />CLAY <br />30 35 <br />SAND <br />35 60 <br />CLAY <br />60 88 <br />SAND <br />88 93 <br />CLAY <br />93 103 <br />SAND <br />103 108 <br />CLAY <br />108 120 <br />SAND <br />120 146 <br />CLAY <br />146 163 <br />SAND <br />163 1 230 <br />j CLAY <br />230 231 <br />1 SAND <br />Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />