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State of California <br /> Well Completion Report <br /> Form DWR 188 Submitted 7/1412021 <br /> WCR2021-008675 <br /> Owner's Well Number Date Work Began 07/06/2021 Date Work Ended 07/13/2021 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number 42149 Permit Date 06/14/2021 <br /> W 114wnelrr us "re' ain colnf dentia!- ursuant.to,sWater:Code'G752 Planned Use arrc!Acfivi <br /> e (m: <br /> p.x , a< f x <br /> Name Venancio Martinez Activity New Well <br /> Mailing Address 17975 S.Austin Rd. Planned Use Water Supply Domestic <br /> City Manteca State CA Zip 95336 <br /> Vlfeii Location <br /> Address 17975 S Austin RD APN 208-330-15 <br /> City Manteca Zip 95336 County San Joaquin Township 01S <br /> Latitude 37 47 54.43 N Longitude -121 10 50.0361 W Range 07 E <br /> Section 34 <br /> Deg. Min. Sec. Deg. Min. Sec. Baseline Meridian Mount Diablo <br /> Dec.Lat. 37.7984528 Dec.Long. -121.1805656 Ground Surface Elevation <br /> Vertical Datum Horizontal Datum WGS84 Elevation Accuracy <br /> Location Accuracy Location Determination Method Elevation Determination Method <br /> Borehoferinfdrmaton t = _ Water::Leei alnd Yield.of Com eted=Well::. <br /> ... ;: ., :....t .;;,T_b 1 nt.......,(i aE r,...}... .r..: ,i..z...t.+,...! i•3i. ..�t.a Iur hh.3.t e.4._>.. .t,. .3,. <br /> Orientation Vertical Specify Depth to first water (Feet below surface) <br /> Drilling Method Other-Mud Rotary Drilling Fluid Water Depth to Static <br /> Water Level 52 (Feet) Date Measured 07/13/2021 <br /> Total Depth of Boring 277 Feet Estimated Yield* (GPM) Test Type Air Lift <br /> Test Length (Hours) Total Drawdown (feet) <br /> Total Depth of Completed Well 277 Feet *May not be representative of a well's long term yield. <br /> o r Lo <br /> Ge to creeForlin <br /> t g ;i <br /> Depth from <br /> Surface Description <br /> Feet to Feet <br /> 0 3 topsoil <br /> 3 12 sand <br /> 12 30 clay <br /> 30 138 sand <br /> 138 215 clay <br /> 215 218 sand <br /> 218 244 clay <br /> 244 248 sand-coarse <br /> 248 255 clay <br /> 255 277 sand <br /> Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />