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State of California <br /> Well Completion Report <br /> Form DWR 188 Submitted 2/9/2022 <br /> WCR2022-001894 <br /> Owner's Well Number Date Work Began 01/25/2022 Date Work Ended 02/07/2022 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number 42569 Permit Date 09/20/2021 <br /> Well Owner m.{�ist rernamxconfidential tirs6int to Water Codef 137521/ Planned'Use`ar�d�;Acxivi <br /> ii. ,.:{. i, p )B <br /> Name David Gai Activity New Well <br /> Mailing Address 7959 E.LaJunta Rd. Planned Use Water Supply Domestic <br /> City Scottsdale State AZ Zip 85255 <br /> Fkile'll cat ya S <br /> Address 8858 E Fairchild RD APN 089-080-03 <br /> City Acampo Zip 95215 County San Joaquin Township 02 N <br /> Latitude 38 0 32.2059 N Longitude -121 11 56.0817 W Range 07 E <br /> Section 22 <br /> Deg. Min. Sec. Deg. Min. Sec. Baseline Meridian Mount Diablo <br /> Dec.Lat. 38.0089461 Dec.Long. -121.1989116 Ground Surface Elevation <br /> Vertical Datum Horizontal Datum WGS84 Elevation Accuracy <br /> Location Accuracy Location Determination Elevation Determination Method <br /> Method <br /> 3orehol0.4h ormatlon d yof Completediell <br /> . 1(il <br /> ' Water Level and <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 112 (Feet) Date Measured 02/07/2022 <br /> Total Depth of Boring 250 Feet Estimated Yield' (GPM) Test Type Air Lift <br /> Test Length (Hours) Total Drawdown (feet) <br /> Total Depth of Completed Well 250 Feet *May not be representative of a well's long term yield. <br /> .: i 3; EF is } v r{ ai451 ya fid' Nsitu ti <br /> Geologic Log 't=ree Form ,' <br /> ...,'•tk-.-'..�P-t,<.,is ..:! -._..�.__...3.., <br /> Depth from <br /> Surface Description <br /> Feet to Feet <br /> 0 30 clay <br /> 30 44 gravel <br /> 44 50 clay <br /> 50 56 sand <br /> 56 68 clay <br /> 68 87 rock 3/4 inch <br /> 87 93 clay <br /> 93 125 gravel <br /> 125 133 clay <br /> 133 138 sand <br /> 138 142 clay <br /> 142 147 sand <br /> 147 170 clay <br /> 170 177 sand <br /> Farm DWR 188 rev. 12/19/2017 Page 1 of 2 <br />