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State of California <br /> Well Completion Report <br /> Form DWR 188 Submitted 8/15/2022 <br /> WCR2022-009535 <br /> Owner's Well Number Date Work Began 03/30/2022 Date Work Ended 03/30/2022 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number WP0042877 Permit Date 01/03/2022 <br /> Well Owner (must remain confidential pursuant to Water Code 13752) Planned Use and Activity <br /> Name GEORGIANN ROSE Activity New Well <br /> Mailing Address 2114 WOODBINE AVE. Planned Use Water Supply Domestic <br /> City MANTECA State CA Zip 95337 <br /> Well Location <br /> Address 8850 LATHROP RD APN 208-040-020 <br /> City MANTECA Zip 95336 County San Joaquin Township 01 S <br /> Latitude 37 49 33.9636 N Longitude -121 11 17.6496 W Range 07 E <br /> Section 27 <br /> Deg. Min. Sec. Deg. Min. Sec. <br /> Baseline Meridian Mount Diablo <br /> Dec. Lat. 37.826101 Dec.Long. -121.188236 Ground Surface Elevation 47 <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 /> Depth to Static <br /> Drilling Method Direct Rotary Drilling Fluid Bentonite <br /> Water Level 59 (Feet) Date Measured 03/30/2022 <br /> Estimated Yield' (GPM) Test Type Air Lift <br /> Total Depth of Boring 325 Feet <br /> Test Length (Hours) Total Drawdown (feet) <br /> Total Depth of Completed Well 270 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 24 SAND <br /> 24 26 CLAY <br /> 26 30 SAND <br /> 30 39 CLAY <br /> 39 44 SAND <br /> 44 72 CLAY <br /> 72 78 SAND <br /> 78 105 CLAY <br /> 105 124 SAND <br /> 124 147 CLAY <br /> 147 151 SAND <br /> 151 240 CLAY <br /> 240 242 SAND <br /> Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />