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State of California <br /> Well Completion Report <br /> Form DWR 188 Submitted 8/8/2022 <br /> WCR2022-009193 <br /> Owner's Well Number Date Work Began 12/10/2021 Date Work Ended 12/15/2021 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number WP0042345 Permit Date 07/27/2021 <br /> Well Owner(must remain confidential pursuant to Water Code 13752) Planned Use and Activity <br /> Name LISA VIERRA Activity New Well <br /> Mailing Address PO BOX 4274 Planned Use Water Supply Domestic <br /> City MANTECA State CA Zip 95337 <br /> Well Location <br /> Address 5388 E FIG AVE APN 226-050-020 <br /> City MANTECA Zip 95337 County San Joaquin Township 02S <br /> Latitude 37 45 40.914 N Longitude -121 14 26.412 W Range 07 E <br /> Section 18 <br /> Deg. Min. Sec. Deg. Min. Sec. <br /> Baseline Meridian Mount Diablo <br /> Dec.Lat. 37.761365 Dec.Long. -121.24067 Ground Surface Elevation 30 <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 16 (Feet) Date Measured 12/15/2021 <br /> Total Depth of Baring 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 3 TOP SOIL <br /> 3 27 SAND <br /> 27 31 CLAY <br /> 31 57 SAND <br /> 57 j 91 CLAY <br /> 91 98 SAND <br /> 98 118 CLAY <br /> 118 121 SAND <br /> 121 151 CLAY <br /> 151 161 SAND <br /> 161 224 CLAY <br /> 224 285 SAND <br /> Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />