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State of California <br />Well Completion Report <br />Form DWR 188 Submitted 3/11/2022 <br />WCR2022-002977 <br />Owner's Well Number Date Work Began 02/24/2022 <br />Local Permit Agency San Joaquin County Environmental Health Department <br />Secondary Permit Agency Permit Number WP0042765 <br />Well Owner (must remain confidential pursuant to Water Code 13752) <br />Name KYLE JEFFERSON <br />Mailing Address 30051 GROOMS RD <br />City OAKDALE State CA Zip 95361 II <br />Well Location <br />Date Work Ended 03/02/2022 <br />Permit Date 11/29/2021 <br />Planned Use and Activity <br />Activity New Well <br />Planned Use Water Supply Domestic <br />Address 30051 GROOMS RD APN 207-290-600 <br />City OAKDALE Zip 95361 County San Joaquin Township 01 S <br />Latitude 37 50 8.8871 N Longitude -120 56 30.9696 W Range 09 E <br />Section 24 <br />Deg. Min. Sec. Deg. Min. Sec. <br />Baseline Meridian Mount Diablo <br />Dec. Lat. 37.835802 Dec. Long. -120.941936 <br />Ground Surface Elevation 142 <br />Vertical Datum Horizontal Datum WGS84 Elevation Accuracy Unknown <br />Location Accuracy Unknown Location Determination GPS Elevation Determination Method Digital Aerial Photo <br />Method <br />Borehole Information <br />Orientation Vertical Specify <br />Drilling Method Direct Rotary Drilling Fluid Bentonite <br />Total Depth of Boring 340 Feet <br />Total Depth of Completed Well 330 Feet <br />Water Level and Yield of Completed Well <br />Depth to first water (Feet below surface) <br />Depth to Static <br />Water Level 106 (Feet) Date Measured 03/02/2022 <br />Estimated Yield' (GPM) Test Type Air Lift <br />Test Length (Hours) Total Drawdown (feet) <br />`May not be representative of a well's long term yield. <br />Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />Geologic Log - Free Form <br />Depth from <br />Surface <br />Feet to Feet <br />Description <br />0 3 <br />TOP SOIL <br />3 5 <br />HARD PAN <br />5 13 <br />SAND <br />13 23 <br />CLAY <br />23 30 <br />SAND <br />30 64 <br />CLAY <br />64 65 <br />SAND <br />65 110 <br />CLAY <br />110 130 <br />SAND & GRAVEL <br />130 180 <br />SHALE <br />180 190 <br />SAND <br />190 203 <br />CLAY <br />203 213 <br />SAND <br />213 219 <br />CLAY <br />Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />