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R <br /> State of California <br /> Well Completion Report <br /> Form DWR 188 Submitted 10/27/2022 <br /> WCR2022-012643 <br /> Owner's Well Number Date Work Began 09/28/2021 Date Work Ended 09/19/2022 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number WP0042406 Permit Date 08/09/2021 <br /> Well Owner(must remain confidential pursuant to Water Code 13752) Planned Use and Activity <br /> Name PATRICIA SITKIN Activity New Well <br /> Mailing Address PO BOX 989 Planned Use Water Supply Irrigation- <br /> Agriculture <br /> City LINDEN State CA Zip 95236 <br /> Well Location <br /> Address 28786 E SHELTON RD APN 093-340-130 <br /> City LINDEN Zip 95236 County San Joaquin Township 09 N <br /> Latitude 38 39 3.0203 N Longitude -120 57 36.468 W Range 09 E <br /> Section 11 <br /> Deg. Min. Sec. Deg. Min. Sec. Baseline Meridian Mount Diablo <br /> Dec.Lat. 38.650839 Dec.Long. -120.96013 Ground Surface Elevation 246 <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 /> Drilling Method Direct Rotary Drilling Fluid Bentonite Depth to Static <br /> Water Level 238 (Feet) Date Measured 07/14/2022 <br /> Total Depth of Boring 600 Feet Estimated Yield* (GPM) Test Type Air Lift <br /> Test Length (Hours) Total Drawdown (feet) <br /> Total Depth of Completed Well 560 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 3 TOP SOIL <br /> 3 6 GRAVEL <br /> 6 8 CLAY <br /> 8 18 GRAVEL <br /> 18 38 SAND <br /> 38 47 SHALE <br /> 47 113 BLACK SAND <br /> 113 120 CLAY <br /> 120 126 GRAVEL <br /> 126 135 SHALE <br /> 135 139 BLACK SAND <br /> 139 147 SHALE <br /> 147 174 BLACK SAND <br /> 174 193 SHALE <br /> Form DWR 188 rev. 12/19/2017 Page 1 of 3 <br />