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State of California <br />Well Completion Report <br />Form DWR 188 Submitted 8/15/2022 <br />WCR2022-009515 <br />Owner's Well Number Date Work Began 04/15/2022 <br />Local Permit Agency San Joaquin County Environmental Health Department <br />Secondary Permit Agency Permit Number WP0042875 <br />Well Owner (must remain confidential pursuant to Water Code 13752) <br />Name ANTHONY THERMAN <br />Mailing Address 5681 E MARSH ST. <br />Date Work Ended 04/18/2022 <br />Permit Date 01/03/2022 <br />Planned Use and Activity <br />Activity New Well <br />Planned Use Water Supply Domestic <br />City STOCKTON State CA Zip 95215 11 1 <br />Well Location <br />Address 11600 NORMAN AVE APN 103-290-370 <br />City STOCKTON Zip 95215 County San Joaquin Township 02 N <br />Latitude 37 58 20.2116 N Longitude -121 9 54.7775 W Range 07 E <br />Section 36 <br />Deg. Min. Sec. Deg. Min. Sec. <br />Baseline Meridian Mount Diablo <br />Dec. Lat. 37.972281 Dec. Long. -121.165216 Ground Surface Elevation 50 <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 118 (Feet) Date Measured 04/18/2022 <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 340 Feet <br />Total Depth of Completed Well 320 Feet <br />Geologic Log - Free Form <br />Depth from <br />Surface <br />Feet to Feet <br />Description <br />0 2 <br />TOP SOIL <br />2 15 <br />CLAY <br />15 19 <br />GRAVEL <br />19 68 <br />CLAY <br />68 78 <br />SAND <br />78 119 <br />CLAY <br />119 121 <br />SAND <br />121 240 <br />CLAY <br />240 241 <br />SAND <br />241 250 <br />CLAY <br />250 252 <br />SAND <br />252 263 <br />CLAY <br />263 264 <br />SAND <br />264 283 <br />CLAY <br />Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />