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State of California <br />Well Completion Report <br />Form DWR 188 Submitted 7/21/2021 <br />WCR2021-009107 <br />Owner's Well Number Date Work Began 03/19/2021 <br />Local Permit Agency San Joaquin County Environmental Health Department <br />Secondary Permit Agency Permit Number WP0041737 <br />Well Owner (must remain confidential pursuant to Water Code 13752) <br />Name CECIL RODGERS <br />Mailing Address 7569 S ROBERTS RD <br />City STOCKTON State CA Zip 95206 <br />Well Location <br />Date Work Ended 03/22/2021 <br />Permit Date 02/25/2021 <br />Planned Use and Activity <br />Activity New Well <br />Planned Use Water Supply Domestic <br />Address 1851 W BOWMAN RD APN 191-280-220 <br />City FRENCH CAMP Zip 95231 County San Joaquin Township 01 S <br />Latitude 37 51 54.3059 N Longitude -121 19 22.242 W Range 06 E <br />Section 09 <br />Deg. Min. Sec. Deg. Min. Sec. <br />Dec. Lat. 37.865085 <br />Vertical Datum <br />Location Accuracy Unknown <br />Baseline Mendian Mount Diablo <br />Dec. Long. -121.322845 Ground Surface Elevation 10 <br />Horizontal Datum WGS84 Elevation Accuracy Unknown <br />Location Determination Method GPS Elevation Determination Method Digital Aerial Photo <br />Borehole Information <br />Orientation Vertical Specify <br />Drilling Method Direct Rotary Drilling Fluid Bentonite <br />Total Depth of Boring 55 <br />Total Depth of Completed Well 55 <br />Feet <br />Feet <br />Water Level and Yield of Completed Well <br />Depth to first water (Feet below surface) <br />Depth to Static <br />Water Level 17 (Feet) Date Measured 03/22/2021 <br />Estimated Yield* (GPM) Test Type Air Lift <br />Test Length (Hours) Total Drawdown (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 3 <br />TOP SOIL <br />3 35 <br />CLAY <br />35 49 <br />SAND <br />49 55 <br />BLUE CLAY <br />Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />