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State of California <br /> Well Completion Report <br /> Form DWR 188 Submitted 5/30/2023 <br /> WCR2023-006150 <br /> Owner's Well Number Date Work Began 05/23/2023 Date Work Ended 05/26/2023 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number WP0044053 Permit Date 11/15/2022 <br /> Well Owner(must remain confidential pursuant to Water Code 13752) Planned Use and Activity <br /> Name KAREN VIEIRA Activity New Well <br /> Mailing Address 17611 LOUISE AVE Planned Use Water Supply Domestic <br /> City ESCALON State CA Zip 95320 <br /> Well Location <br /> Address 16728 ELSHOLZ RD APN 203-220-080 <br /> City RIPON Zip 95366 County San Joaquin Township 01 S <br /> Latitude 37 48 30.6071 N Longitude -121 6 17.4096 W Range 08 E <br /> Section 33 <br /> Deg. Min. Sec. Deg. Min. Sec. Baseline Meridian Mount Diablo <br /> Dec.Lat. 37.808502 Dec.Long. -121.104836 Ground Surface Elevation 71 <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 Water Level and Yield of Completed Well <br /> Orientation Vertical Specify Depth to first water (Feet below surface) <br /> Depth to Static <br /> Drilling Method Direct Rotary Drilling Fluid Bentonite <br /> Water Level 74 (Feet) Date Measured 05/26/2023 <br /> Estimated Yield* (GPM) Test Type Air Lift <br /> Total Depth of Boring 325 Feet Test Length (Hours) Total Drawdown (feet) <br /> Total Depth of Completed Well 315 Feet May not be representative of a well's long term yield. <br /> Geologic Log - Free Form <br /> Depth from <br /> Surface Description <br /> Feet to Feet <br /> 0 3 TOP SOIL <br /> 3 5 HARD PAN <br /> 5 17 SAND <br /> 17 23 CLAY <br /> 23 j 113 SAND <br /> 113 168 CLAY <br /> 168 170 SAND <br /> 170 173 CLAY <br /> 173 175 SAND <br /> 175 j 186 CLAY <br /> 186 188 SAND <br /> 188 218 CLAY <br /> 218 220 SAND <br /> 220 233 CLAY <br /> Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />