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State of California <br />Well Completion Report <br />Form DWR 188 Submitted 7/27/2022 <br />WCR2022-008486 <br />Owner's Well Number Date Work Began 01/06/2022 <br />Local Permit Agency San Joaquin County Environmental Health Department <br />Secondary Permit Agency Permit Number WP0042682 <br />Well Owner (must remain confidential pursuant to Water Code 13752) <br />Name BETTY DONDERO <br />Mailing Address 20480 E. COPPEROPOLIS RD. <br />City LINDEN State CA Zip 95236 11 <br />Well Location <br />Date Work Ended 01/07/2022 <br />Permit Date 10/20/2021 <br />Planned Use and Activity <br />Activity New Well <br />Planned Use Water Supply Domestic <br />Address 17300 E COPPEROPOLOS RD APN 183-200-030 <br />City LINDEN Zip 95236 County San Joaquin Township 01 N <br />Latitude 37 57 53.3267 N Longitude -121 6 4.0752 W Range 08 E <br />Section 04 <br />Deg. Min. Sec. Deg. Min. Sec. Baseline Meridian Mount Diablo <br />Dec. Lat. 37.964813 Dec. Long. -121.101132 Ground Surface Elevation 80 <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 <br />Orientation Vertical <br />Drilling Method Direct Rotary Drilling Fluid <br />Specify <br />Bentonite <br />Water Level and Yield of Completed Well <br />Depth to first water (Feet below surface) <br />Depth to Static <br />Water Level 140 (Feet) Date Measured 01/07/2022 <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 />Total Depth of Boring 370 Feet <br />Total Depth of Completed Well 304 Feet <br />Geologic Log - Free Form <br />Depth from <br />Surface <br />Feet to Feet <br />Description <br />0 3 <br />TOP SOIL <br />3 13 <br />CLAY <br />13 18 <br />SAND <br />18 81 <br />CLAY <br />81 88 <br />SAND <br />88 116 <br />CLAY <br />116 123 <br />GRAVEL <br />123 142 <br />CLAY <br />142 148 <br />SAND <br />148 158 <br />CLAY <br />158 170 <br />GRAVEL <br />170 193 <br />CLAY <br />193 206 <br />GRAVEL <br />206 237 <br />CLAY <br />Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />