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State of California <br />Well Completion Report <br />Form DWR 188 Submitted 8/15/2022 <br />WCR2022-009542 <br />Owner's Well Number Date Work Began 03/11/2022 <br />Local Permit Agency San Joaquin County Environmental Health Department <br />Secondary Permit Agency Permit Number W00042652 <br />Well Owner (must remain confidential pursuant to Water Code 13752) <br />Name DOMINIC DEPALMA <br />Mailing Address 18666 E HWY 120 <br />Date Work Ended 03/17/2022 <br />Permit Date 10/12/2021 <br />Planned Use and Activity <br />Activity New Well <br />Planned Use Water Supply Irrigation - <br />Agriculture <br />City RIPON State CA Zip 95366 11 1 <br />Well Location <br />Address 18436 LOUISE AVE APN 205-070-730 <br />City ESCALON Zip 95320 County San Joaquin Township 01 S <br />Latitude 37 48 26.0171 N Longitude -121 4 47.7551 W Range 08 E <br />Section 34 <br />Deg. Min. Sec. Deg. Min. Sec. <br />Baseline Meridian Mount Diablo <br />Dec. Lat. 37.807227 Dec. Long. -121.079932 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 79 (Feet) Date Measured 03/17/2022 <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 480 Feet <br />Total Depth of Completed Well 430 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 30 <br />CLAY <br />30 43 <br />SAND <br />43 53 <br />CLAY <br />53 j 56 <br />SAND <br />56 61 <br />CLAY <br />61 65 <br />SAND <br />65 81 <br />CLAY <br />81 110 <br />SAND <br />110 112 <br />CLAY <br />112 118 <br />SAND <br />118 150 <br />CLAY <br />150 178 <br />SAND <br />178 220 <br />CLAY <br />Form DWR 188 rev. 12/19/2017 Page 1 of 3 <br />