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"RECEIVED <br />State of California <br />3 222 Well Completion Report <br />Form DWR 188 Submitted 9/26/2022 <br />l.�L t1L�`LTH WCR2022-011147 <br />a� ji'I'11CNT <br />Owner's Well Number Date Work Began 09/19/2022 <br />Local Permit Agency San Joaquin County Environmental Health Department <br />Secondary Permit Agency Permit Number WP0043695 <br />Well Owner (must remain confidential pursuant to Water Code 13752) <br />Name BS FAMILY PARTNERSHIP, <br />Mailing Address PO BOX 32 <br />City ESCALON <br />State CA Zip 95320 <br />Well Location <br />Date Work Ended 09/23/2022 <br />Permit Date 08/31/2022 <br />Planned Use and Activity <br />Activity New Well <br />Planned Use Water Supply Domestic <br />Address 12870 E STATE ROUTE 120 APN 228-040-050 <br />City MANTECA Zip 95336 County San Joaquin Township 02S <br />Latitude 37 47 49.5023 N Longitude -121 9 3.4848 W Range 07 E <br />Section 01 <br />Deg. Min. Sec. Deg. Min. Sec. Baseline Meridian Mount Diablo <br />Dec. Lat. 37.797084 Dec. Long. -121.150968 Ground Surface Elevation 63 <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 56 (Feet) Date Measured 09/23/2022 <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 280 Feet <br />Total Depth of Completed Well 280 Feet <br />Geologic Log - Free Form <br />Depth from <br />Surface <br />Feet to Feet <br />Description <br />0 4 <br />TOP SOIL <br />4 26 <br />SAND <br />26 41 <br />j CLAY <br />41 47 <br />SAND <br />47 67 <br />CLAY <br />67 91 <br />SAND <br />91 99 <br />CLAY <br />99 103 <br />SAND <br />103 121 <br />CLAY <br />121 138 <br />SAND <br />138 181 <br />CLAY <br />181 186 <br />SAND <br />186 221 <br />CLAY <br />221 224 <br />SAND <br />Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />