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• State of California <br />Well Completion Report <br />Form DWR 188 Submitted 7/20/2021 <br />WCR2021-009061 <br />Owner's Well Number Date Work Began 02/08/2021 <br />Local Permit Agency San Joaquin County Environmental Health Department <br />Secondary Permit Agency Permit Number WP0041683 <br />Well Owner (must remain confidential pursuant to Water Code 13752) <br />Name BERNON DANLEY <br />Mailing Address 5180 NILE AVE <br />City MANTECA State CA Zip 95337 II <br />Well Location <br />Date Work Ended 02/09/2021 <br />Permit Date 02/04/2021 <br />Planned Use and Activity <br />Activity New Well <br />Planned Use Water Supply Domestic <br />Address 5180 NILE AVE APN 226-060-090 <br />City MANTECA Zip 95337 County San Joaquin Township 02S <br />Latitude 37 45 17.6615 N Longitude -121 14 37.2263 W Range 07 E <br />Section 18 <br />Deg. Min. Sec. Deg. Min. Sec. Baseline Meridian Mount Diablo <br />Dec. Lat. 37.754906 Dec. Long. -121.243674 Ground Surface Elevation 29 <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 <br />30 73 <br />Depth to Static <br />Drilling Method Direct Rotary Drilling Fluid <br />Bentonite <br />123 j 163 <br />CLAY <br />163 168 <br />Water Level 16 (Feet) Date Measured 02/09/2021 <br />Estimated Yield' (GPM) Test Type Air Lift <br />168 206 <br />Total Depth of Boring 295 <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 2 <br />TOP SOIL <br />2 30 <br />SAND <br />30 73 <br />CLAY <br />73 123 <br />SAND <br />123 j 163 <br />CLAY <br />163 168 <br />SAND <br />168 206 <br />CLAY <br />206 208 <br />SAND <br />208 218 <br />CLAY <br />218 223 <br />SAND <br />223 233 <br />CLAY <br />233 270 <br />SAND <br />270 295 <br />CLAY <br />Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />