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c <br />State of California <br />Well Completion Report <br />Form DWR 188 Submitted 8/16/2022 <br />WCR2022-009570 <br />Owner's Well Number Date Work Began 07/06/2022 <br />Local Permit Agency San Joaquin County Environmental Health Department <br />Secondary Permit Agency Permit Number WP0043430 <br />Well Owner (must remain confidential pursuant to Water Code 13752) <br />Name JIM SILVERIA <br />Mailing Address PO BOX 682 <br />I City FRENCH CAMP State CA Zip 95231 11 <br />Well Location <br />Date Work Ended 07/08/2022 <br />Permit Date 06/27/2022 <br />Planned Use and Activity <br />Activity New Well <br />Planned Use Water Supply Domestic <br />Address 1690 W BOWMAN RD APN 191-280-120 <br />City FRENCH CAMP Zip 95231 County San Joaquin Township 01 S <br />Latitude 37 51 45.072 N Longitude -121 19 7.77 W Range 06 E <br />Section 09 <br />Deg. Min. Sec. Deg. Min. Sec. <br />Baseline Meridian Mount Diablo <br />Dec. Lat. 37.86252 Dec. Long. -121.318825 Ground Surface Elevation 15 <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 />Water Level and Yield of Completed Well <br />Orientation Vertical <br />Specify <br />Depth to first water (Feet below surface) <br />Depth to Static <br />Drilling Method Direct Rotary Drilling Fluid <br />Bentonite <br />Water Level 16 (Feet) Date Measured 07/08/2022 <br />Estimated Yield` (GPM) Test Type Air Lift <br />Total Depth of Boring 68 <br />Feet <br />Test Length (Hours) Total Drawdown (feel) <br />Total Depth of Completed Well 60 <br />Feet <br />'May not be representative of a well's long term yield. <br />Geologic Log - Free Form <br />Depth from <br />Surface <br />Description <br />Feet to Feet <br />0 4 CLAY <br />4 12 SAND <br />12 30 CLAY <br />30 34 SAND <br />34 45 CLAY <br />45 60 SAND <br />60 68 CLAY <br />Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />