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state of California <br />Well Completion Report <br />Form DWR188 Submitted 9/17/2022 <br />WCR2022-010829 <br />Owner's Well Number Date Work Began 08/10/2022 Date Work Ended 08/29/2022 <br />Local Permit Agency San Joaquin County Environmental Health Department <br />Secondary Permit Agency Permit Number 43378 Permit Date 06/09/2022 <br />Well Owner (must remain confidential pursuant toiWater Code 'l375l2)Planned'Usetand'Actfvlty ^ <br />Name Joseph Lange Activity New Well <br />Mailing Address 1298 W. Jahant Rd. <br />Planned Use Water Supply Domestic <br />City Acampo State CA Zip 95220 <br />Wei! Locatipn <br />Address <br />City <br />APN 003-14-020 <br />Latitude 38 12 <br />Zip <br />23.472 N Longitude <br />County San Joaquin <br />'-121 18 11.952 W <br />Deg. MIn. <br />Dec. Lat. 38.20652 <br />Sec. <br />Dec. Long. <br />Deg. MIn. <br />-121.30332 <br />Sec. <br />Township <br />Range 06 E <br />Section <br />0 <br />10 <br />4 N <br />Baseline Meridian Mount Diablo <br />Vertical Datum Honzontal Datum WGS84 <br />Ground Surface Elevation <br />Elevation Accuracy <br />Location Accuracy Location Determination <br />Method <br />Elevation Determination Method <br />Borehole Information I Ut <br />n , <br />Orientation Vertical Specify <br />Drilling Method Other - Mud Rotary Drilling Fluid Water <br />Total Depth of Boring 400 Feet <br />Total Depth of Completed Well 330 Feet <br />, t,, iWL ^ <br />i\ andHYielddf^. ponipldtOc <br />Depth to first water (Feet below surface) <br />Depth to Static <br />Water Level 72 (Feet) Date Measured 08/29/2022 <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 />Depth from <br />Surface <br />Feet to Feet <br />Description <br />0 22 sand/clay <br />22 29 clay <br />29 46 sand <br />46 48 clay <br />48 50 sand/clay <br />50 68 clay <br />68 74 sand <br />74 84 clay <br />84 147 gravel/rocks <br />147 154 clay <br />154 166 gravel <br />166 196 clay <br />196 210 sand <br />210 213 clay <br />Form DWR 188 rev. 12/19/2017 Page 1 of 3