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State of California <br /> Well Completion Report <br /> Form DWR 188 Submitted 7/19/2022 <br /> WCR2022-007969 <br /> Owners Well Number Date Work Began 01/19/2022 Date Work Ended 01/21/2022 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number WP0042588 Permit Date 09/27/2021 <br /> Well Owner(must remain confidential pursuant to Water Code 13752) Planned Use and Activity <br /> Name LINDA ROMANO Activity New Well <br /> Mailing Address 25986 DOVE RD Planned Use Water Supply Domestic <br /> City ESCALON State CA Zip 95320 <br /> Well Location <br /> Address 25986 DOVE RD APN 207-200-230 <br /> City ESCALON Zip 95320 County San Joaquin Township 01S <br /> Latitude 37 50 57.1487 N Longitude -120 59 32.2116 W Range 09 E <br /> Section 16 <br /> Deg. Min. Sec. Deg. Min. Sec. <br /> Baseline Meridian Mount Diablo <br /> Dec.Lat. 37.849208 Dec.Long. -120.992281 Ground Surface Elevation 121 <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 108 (Feet) Date Measured 01/21/2022 <br /> Total Depth of Boring 265 Feet Estimated Yield* (GPM) Test Type Air Lift <br /> Test Length (Hours) Total Drawdown (feet) <br /> Total Depth of Completed Well 240 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 3 TOP SOIL <br /> 3 18 SAND <br /> 18 48 CLAY <br /> 48 59 SAND <br /> 59 63 CLAY <br /> 63 89 SAND <br /> 89 140 CLAY <br /> 140 150 GRAVEL <br /> 150 170 CLAY <br /> 170 188 SAND&GRAVEL <br /> 188 224 CLAY <br /> 224 228 BLACK SAND <br /> 228 236 CLAY <br /> 236 238 SAND <br /> Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />