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Owner's Well Number <br />State of California <br />Well Completion Report <br />Form DWR188 Submitted 9/21/2022 <br />WCR2022-G11013 <br />Date Work Began 09/06/2022 Date Work Ended 09/15/2022 <br />Local Permit Agency San Joaquin County Environmental Health Department <br />Secondary Permit Agency Permit Number 43670 Permit Date 08/23/2022 <br />Well Owner (must remain confidentialpursuai^yo^ater Code 137521 , : PlannedrJJse,uand'Ac,^^^^ <br />Name Genevieve Conine Activity New Well <br />Mailing Address 5605 W. Linne Rd. <br />Planned Use Water Supply Domestic <br />City Tracy State CA Zip 95304 <br />.Well Location <br />Address 5606 W LInne RD <br />City Tracy <br />APN 253-33-025 <br />Latitude 37 41 <br />Deg. Min. <br />Dec. Lat. 37.6957437 <br />44.6773 <br />Sec. <br />Zip <br />N <br />95304 <br />Longitude <br />County San Joaquin <br />-121 22 30.7808 W <br />Deg. Min. <br />Dec. Long. -121.3752169 <br />Sec. <br />Township <br />Range 05 E <br />Section <br />0 <br />12 <br />3 S <br />Baseline Meridian Mount Diablo <br />Vertical Datum Horizontal Datum WGS84 <br />Ground Surface Elevation <br />Elevation Accuracy <br />Location Accuracy Location Determination <br />Method <br />Elevation Determination Method <br />Borehole information'i f t 'Water Leyelrand Yieid^of Completed Well <br />Orientation Vertical Specify <br />Drilling Method Other - Mud Rotary Drilling Fluid Water <br />Depth to first water <br />Depth to Static <br />Water Level <br />(Feet below surface) <br />Total Depth of Boring 300 <br />Total Depth of Completed Well 180 <br />Feet <br />Feet <br />Estimated Yield* <br />Test Length <br />46 (Feet) Date Measured <br />(GPM) Test Type <br />(Hours) Total Drawdown <br />09/15/2022 <br />Air Lift <br />(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 10 clay <br />10 35 gravel/seal <br />35 56 clay <br />56 62 gravel/rocks <br />62 112 clay <br />112 118 sand <br />118 138 clay <br />138 146 sand-coarse <br />146 156 clay <br />156 167 coarse sand/gravel <br />167 170 clay <br />170 181 sand <br />181 193 clay <br />193 201 sand/gravel <br />Form DWR 188 rev. 12/19/2017 Page 1 of 2