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r <br />State of California <br />Well Completion Report <br />Form DWR 188 Submitted 7/20/2021 <br />WCR2021-009078 <br />Owner's Well Number Date Work Began 03/22/2021 <br />Local Permit Agency San Joaquin County Environmental Health Department <br />Secondary Permit Agency Permit Number WP0041465 <br />Well Owner (must remain confidential pursuant to Water Code 13752) <br />Name SCOTT BEDFORD <br />Mailing Address 1231 TULLOCH RD <br />City TRACY <br />State CA Zip 95304 <br />Well Location <br />Date Work Ended 03/26/2021 <br />Permit Date 11/23/2020 <br />Planned Use and Activity <br />Activity New Well <br />Planned Use Water SuoDly Domestic <br />Address 33856 S BEVIS RD APN 255-090-590 <br />City TRACY Zip 95304 County San Joaquin Township 03S <br />Latitude 37 38 30.2495 N Longitude -121 20 31.6572 W Range 06 E <br />Section 29 <br />Deg. Min. Sec. Deg. Min. Sec. <br />Baseline Meridian Mount Diablo <br />Dec. Lat. 37.641736 Dec. Long. -121.342127 Ground Surface Elevation 171 <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 />SAND AND GRAVEL <br />15 20 <br />Depth to Static <br />Drilling Method Direct Rotary Drilling Fluid <br />Bentonite <br />42 j 68 <br />CLAY <br />68 75 <br />Water Level 110 (Feet) Date Measured 03/26/2021 <br />Estimated Yield* (GPM) Test Type Air Lift <br />75 81 <br />Total Depth of Boring 375 <br />Feet <br />GRAVEL <br />107 110 <br />CLAY <br />Test Length (Hours) Total Drawdown (feet) <br />Total Depth of Completed Well 310 <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 />TOP SOIL <br />6 15 <br />SAND AND GRAVEL <br />15 20 <br />CLAY <br />20 42 <br />GRAVEL <br />42 j 68 <br />CLAY <br />68 75 <br />GRAVEL <br />75 81 <br />SHALE <br />81 107 <br />GRAVEL <br />107 110 <br />CLAY <br />110 124 <br />SAND <br />124 130 <br />CLAY <br />130 135 <br />GRAVEL <br />135 141 <br />CLAY <br />141 196 <br />SAND AND GRAVEL <br />196 206 <br />CLAY <br />Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />