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State of California <br />Well Completion Report <br />Form DWR 188 Submitted 8/16/2022 <br />WCR2022-009605 <br />Owner's Well Number Date Work Began 05/20/2022 <br />Local Permit Agency San Joaquin County Environmental Health Department <br />Secondary Permit Agency Permit Number WP0042926 <br />Well Owner (must remain confidential pursuant to Water Code 13752) <br />Name RODNEY AUGUSTINE <br />Mailing Address 19172 S. ST. JOHN AVE <br />City ESCALON State CA Zip 95320 <br />Well Location <br />Date Work Ended 05/26/2022 <br />Permit Date 01/20/2022 <br />Planned Use and Activity <br />Activity New Well <br />Planned Use Water Supplv Domestic <br />Address 19172 S ST. JOHN AVE APN 247-150-560 <br />City ESCALON Zip 95320 County San Joaquin Township 02S <br />Latitude 37 47 13.1315 N Longitude -120 59 13.3475 W Range 09 E <br />Section 04 <br />Deg. Min. Sec. Deg. Min. Sec. <br />Baseline Meridian Mount Diablo <br />Dec. Lat. 37.786981 Dec. Long. -120.987041 Ground Surface Elevation 131 <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 86 (Feet) Date Measured 05/26/2022 <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 260 Feet <br />Total Depth of Completed Well 260 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 21 <br />SAND <br />21 27 <br />CLAY <br />27 86 <br />SAND <br />86 115 <br />CLAY <br />115 136 <br />SAND <br />136 162 <br />CLAY <br />162 175 <br />SAND <br />175 186 <br />CLAY <br />186 195 <br />SAND <br />195 198 <br />CLAY <br />198 200 <br />SAND <br />200 210 <br />CLAY <br />210 220 <br />SAND & GRAVEL <br />Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />