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State of California <br /> Well Completion Report <br /> Form DWR 188 Submitted 8/8/2022 <br /> WCR2022-009207 <br /> Owner's Well Number Date Work Began 12/01/2021 Date Work Ended 12/02/2021 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number WP0042457 Permit Date 08/20/2021 <br /> Well Owner(must remain confidential pursuant to Water Code 13752) Planned Use and Activity <br /> Name KAREN VIEIRA Activity New Well <br /> Mailing Address 16896 ELSHOLZ RD. Planned Use Water Supply Domestic <br /> City RIPON State CA Zip 95366 <br /> Well Location <br /> Address 17093 ELSHOLZ RD APN 203-220-040 <br /> City RIPON Zip 95366 County San Joaquin Township 01S <br /> Latitude 37 48 33.1883 N Longitude -121 6 1.3463 W Range 08 E <br /> Section 33 <br /> Deg. Min. Sec. Deg. Min. Sec. <br /> Baseline Meridian Mount Diablo <br /> Dec.Lat. 37.809219 Dec.Long. -121.100374 Ground Surface Elevation 73 <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 /> Depth to Static <br /> Drilling Method Direct Rotary Drilling Fluid Bentonite <br /> Water Level 76 (Feet) Date Measured 12/02/2021 <br /> Estimated Yield' (GPM) Test Type Air Lift <br /> Total Depth of Boring 300 Feet <br /> Test Length (Hours) Total Drawdown (feet) <br /> Total Depth of Completed Well 290 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 16 SAND <br /> 16 19 CLAY <br /> 19 63 SAND <br /> 63 j 116 SHALE <br /> 116 130 SAND <br /> 130 134 CLAY <br /> 134 141 SAND <br /> 141 147 CLAY <br /> 147 150 SAND <br /> 150 177 CLAY <br /> 177 181 SAND <br /> 181 229 CLAY <br /> 229 233 SAND <br /> Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />