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State of California <br />Well Completion Report <br />Form DWR 188 Submitted 8/8/2022 <br />WCR2022-009157 <br />Owner's Well Number Date Work Began 08/20/2020 <br />Local Permit Agency San Joaquin County Environmental Health Department <br />Secondary Permit Agency Permit Number WP0041064 <br />Well Owner (must remain confidential pursuant to Water Code 13752) <br />Name DOUG DOLLARHIDE <br />Mailing Address 14108 CAMPBELL AVE. <br />City ESCALON State CA Zip 95320 II <br />Well Location <br />Date Work Ended 08/24/2020 <br />Permit Date 08/06/2020 <br />Planned Use and Activity <br />Activity New Well <br />Planned Use Water Supply Domestic <br />Address 14110 CAMPBELL AVE APN 207-310-090 <br />City ESCALON Zip 95320 County San Joaquin Township 01 S <br />Latitude 37 50 5.9748 N Longitude -120 58 22.6308 W Range 09 E <br />Section 22 <br />Deg. Min. Sec. Deg. Min. Sec. <br />Baseline Meridian Mount Diablo <br />Dec. Lat. 37.834993 Dec. Long. -120.972953 Ground Surface Elevation 130 <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 />Depth from <br />Surface <br />Feet to Feet <br />Water Level and Yield of Completed Well <br />Orientation Vertical <br />Specify <br />Depth to first water (Feet below surface) <br />SAND <br />28 59 <br />Depth to Static <br />Drilling Method Direct Rotary Drilling Fluid <br />Bentonite <br />Water Level 106 (Feet) Date Measured 08/24/2020 <br />CLAY <br />66 70 <br />Estimated Yield` (GPM) Test Type Air Lift <br />70 88 <br />Total Depth of Boring 255 <br />Feet <br />Test Length (Hours) Total Drawdown (feet) <br />Total Depth of Completed Well 250 <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 />Feet to Feet <br />Description <br />0 6 <br />TOP SOIL <br />6 28 <br />SAND <br />28 59 <br />CLAY <br />59 64 <br />SAND <br />64 66 <br />CLAY <br />66 70 <br />SAND <br />70 88 <br />CLAY <br />88 90 <br />SAND <br />90 130 <br />CLAY <br />130 134 <br />SAND & GRAVEL <br />134 170 <br />CLAY <br />170 187 <br />SAND <br />187 193 <br />CLAY <br />193 195 <br />SAND <br />Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />