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b r. <br />State of California <br />Well Completion Report <br />Form DWR 188 Submitted 8/18/2022 <br />WCR2022-009708 <br />Owner's Well Number Date Work Began 05/01/2022 <br />Local Permit Agency San Joaquin County Environmental Health Department <br />Secondary Permit Agency Permit Number WP0043059 <br />Well Owner (must remain confidential pursuant to Water Code 13752) <br />Name JIM NILSSON <br />Mailing Address 12550 S. JACKTONE RD. <br />City MANTECA State CA Zip 95336 II <br />Well Location <br />Date Work Ended 06/13/2022 <br />Permit Date 03/09/2022 <br />Planned Use and Activity <br />Activity New Well <br />Planned Use Water Supply Irrigation - <br />Agriculture <br />Address 7052 KAISER RD APN 181-070-080 <br />City STOCKTON Zip 95215 County San Joaquin Township 01 N <br />Latitude 37 54 8.0207 N Longitude -121 9 23.2595 W Range 07 E <br />Section 25 <br />Deg. Min. Sec. Deg. Min. Sec. <br />Baseline Meridian Mount Diablo <br />Dec. Lat. 37.902228 Dec. Long. -121.156461 <br />Ground Surface Elevation 57 <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 Specify <br />Drilling Method Direct Rotary Drilling Fluid Bentonite <br />Total Depth of Boring 620 Feet <br />Total Depth of Completed Well 600 Feet <br />Water Level and Yield of Completed Well <br />Depth to first water (Feet below surface) <br />Depth to Static <br />Water Level 112 (Feet) Date Measured 06/13/2022 <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 />Geologic Log - Free Form <br />Depth from <br />Surface <br />Feet to Feet <br />Description <br />0 3 <br />TPO SOIL <br />3 25 <br />CLAY <br />25 34 <br />SAND <br />34 60 <br />CLAY <br />60 j 75 <br />SAND & GRAVEL <br />75 90 <br />CLAY <br />90 97 <br />SAND <br />97 107 <br />CLAY <br />107 118 <br />SAND <br />118 128 <br />CLAY <br />128 135 <br />SHALE <br />135 152 <br />CLAY <br />152 156 <br />SAND <br />156 190 <br />CLAY <br />Form DWR 188 rev. 12/19/2017 Page 1 of 3 <br />