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State of Califomia <br /> Well Completion Report <br /> Form DWR 188 Submitted 9/112022 <br /> WCR2022-010228 <br /> Owner's Well Number Date Work Began 08/18/2022 Date Work Ended 08/25/2022 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number 43558 Permit Date 07/29/2022 <br /> Well OwheW`(MUW6ilfi-bio: 16na <br /> al"' U <br /> 0 <br /> Name Andrew Andersen Activity New Well <br /> Mailing Address 17423 S.Enterprise Rd. Planned Use Water Supply Domestic <br /> City Escalon State CA zip 95320 _j I <br /> X, <br /> Address 17423 S Enterprise RD APN 229-26-004 <br /> City Escalon Zip 95320 County San Joaquin Township Oils <br /> — <br /> Latitude 37 48 14.9212 N Longitude -120 55 59.8915 W Range 09 E <br /> Section 36 <br /> Deg. Min. Sec. Deg. Min. Sec. Baseline Meridian Mount Diablo <br /> Dec.Lat. 37.8041448 Dec.Long. -120.9333032 Ground Surface Elevation <br /> Vertical Datum Horizontal Datum WGS84 Elevation Accuracy <br /> Location Accuracy Location Determination Elevation Determination Method <br /> Method <br /> 'd ........... tbs <br /> 6vto'.Ah Y161 00MID 0 <br /> o e ole1h oftAt 66-. eft <br /> 7 4 7 i7 i�ilj VI I <br /> ted <br /> Wella <br /> Orientation Vertical Specify Depth to first water (Feet below surface) <br /> Depth to Static <br /> Drilling Method Other-Mud Rotary Drilling Fluid Water <br /> Water Level 103 (Feet) Date Measured 08/25/2022 <br /> Total Depth of Boring 275 Feet Estimated Yield* (GPM) Test Type Air Lift <br /> Test Length (Hours) Total Drawdown (feet) <br /> Total Depth of Completed Well 275 Feet *May not be representative of a well's long term yield. <br /> .......... <br /> 6:e 4;' <br /> Depth from <br /> Surface Description <br /> Feet to Feet <br /> 0 5 topsoil <br /> 5 63 sand <br /> 63 88 sand-coarse <br /> 88 108 clay <br /> 108 133 sand-coarse <br /> 133 155 clay <br /> 155 163 gravel-small <br /> 163 180 sand/clay streaks <br /> 180 207 clay <br /> 207 j 209 sand <br /> 209 265 clay/shale <br /> 265 273 sand-semi coarse <br /> 273 275 clay <br /> Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />