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r � <br /> State of California <br /> Well Completion Report <br /> Form DWR 188 Submitted 9/27/2021 <br /> WCR2021-012386 <br /> Owner's Well Number Date Work Began 08/03/2021 Date Work Ended 08/05/2021 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number WP0041888 Permit Date 04/01/2021 <br /> Well Owner(must remain confidential pursuant to Water Code 13752) Planned Use and Activity <br /> Name RYAN TEICHEIRA Activity New Well <br /> Mailing Address 1266 STONUM LN Planned Use Water Supply Domestic <br /> City MANTECA State CA Zip 95337 <br /> Well Location <br /> Address 27454 S AIRPORT WAY APN 257-040-110 <br /> City MANTECA Zip 95337 County San Joaquin Township 03S <br /> Latitude 37 42 35.0315 N Longitude -121 14 6.7127 W Range 07 E <br /> Section 06 <br /> Deg. Min. Sec. Deg. Min. Sec. <br /> Baseline Meridian Mount Diablo <br /> Dec. Lat. 37.709731 Dec.Long. -121.235198 <br /> Ground Surface Elevation 31 <br /> Vertical Datum Horizontal Datum WGS84 Elevation Accuracy Unknown <br /> Location Accuracy Unknown Location Determination Method Other Elevation Determination Method Digital Aerial Photo <br /> Borehole Information Water Level and Yield of Completed Well <br /> Orientation Vertical Specify Depth to first water (Feet below surface) <br /> Drilling Method Direct Rotary Drilling Fluid Bentonite Depth to Static <br /> Water Level 22 (Feet) Date Measured 08/05/2021 <br /> Total Depth of Boring 285 Feet Estimated Yield' (GPM) Test Type Air Lift <br /> Test Length (Hours) Total Drawdown (feet) <br /> Total Depth of Completed Well 280 Feet May not be representative of a well's long term yield. <br /> Geologic Log - Free Form <br /> Depth from <br /> Surface Description <br /> Feet to Feet <br /> 0 5 TOP SOIL <br /> 5 17 CLAY <br /> 17 55 SAND <br /> 55 58 BLUE CLAY <br /> 58 j 102 SAND <br /> 102 104 CLAY <br /> 104 131 SAND <br /> 131 133 BLUE CLAY <br /> 133 136 SAND <br /> 136 j 159 BLUE CLAY <br /> 159 166 SAND <br /> 166 174 BLUE CLAY <br /> 174 190 GRAY SAND <br /> 190 212 BLUE CLAY <br /> 212 235 SAND <br /> Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />