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1 <br /> State of California <br /> Well Completion Report <br /> Form DWR 188 Submitted 8/8/2022 <br /> WCR2022-009204 <br /> Owner's Well Number Date Work Began 11/22/2021 Date Work Ended 11/23/2021 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number WP0042284 Permit Date 07/14/2021 <br /> Well Owner(must remain confidential pursuant to Water Code 13752) Planned Use and Activity <br /> Name BRENT BOERSMA Activity New Well <br /> Mailing Address 15326 E.HIGHWAY 120 Planned Use Water Supply Domestic <br /> City RIPON State CA Zip 95366 <br /> Well Location <br /> Address 15401 E STATE ROUTE 120 APN 203-080-180 <br /> City RIPON Zip 95366 County San Joaquin Township 01S <br /> Latitude 37 47 53.2391 N Longitude -121 7 12.828 W Range 08 E <br /> Section 32 <br /> Deg. Min. Sec. Deg. Min. Sec. <br /> Baseline Meridian Mount Diablo <br /> Dec.Lat. 37.798122 Dec.Long. -121.12023 Ground Surface Elevation 69 <br /> Vertical Datum Horizontal Datum WGS84 Elevation Accuracy Unknown <br /> Location Accuracy >50 Ft Location Determination GPS Elevation Determination Method Digital Aerial Photo <br /> Method <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 64 (Feet) Date Measured 11/23/2021 <br /> Total Depth of Boring 280 Feet Estimated Yield' (GPM) Test Type Air Lift <br /> Test Length (Hours) Total Drawdown (feet) <br /> Total Depth of Completed Well 260 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 4 TOP SOIL <br /> 4 23 CLAY <br /> 23 38 SAND <br /> 38 53 CLAY <br /> 53 58 SAND <br /> 58 61 CLAY <br /> 61 66 SAND <br /> 66 128 CLAY <br /> 128 142 SAND <br /> 142 156 CLAY <br /> 156 168 SAND <br /> 168 191 CLAY <br /> 191 192 SAND <br /> 192 198 CLAY <br /> Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />