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f <br /> State of California <br /> Well Completion Report <br /> Form DWR 188 Submitted 3/19/2024 <br /> WC R2024-002336 <br /> Owner's Well Number Date Work Began 03/15/2024 Date Work Ended 03/18/2024 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number WP0045198 Permit Date 01/12/2024 <br /> Well Owner(must remain confidential pursuant to Water Code 13752) Planned Use and Activity <br /> Name PAUL HEISEY III Activity New Well <br /> Mailing Address 9555 ESCALON BELLOTA RD <br /> Planned Use Water Supply Domestic <br /> City ESCALON State CA Zip 95320 <br /> Well Location <br /> Address 9555 ESCALON BELLOTA RD APN 207-030-040 <br /> City ESCALON Zip 95320 County San Joaquin Township 01S <br /> Latitude 37 52 51.0743 N Longitude -120 59 59.4744 W Range 09 E <br /> Section 05 <br /> Deg. Min. Sec. Deg. Min. Sec. Baseline Meridian Mount Diablo <br /> Dec.Lat. 37.880854 Dec.Long. -120.999854 Ground Surface Elevation 115 <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 /> Drilling Method Direct Rotary Drilling Fluid Bentonite Depth to Static <br /> Water Level 126 (Feet) Date Measured 03/18/2024 <br /> Total Depth of Boring 270 Feet Estimated Yield' (GPM) Test Type Air Lift <br /> Test Length (Hours) Total Drawdown (feet) <br /> Total Depth of Completed Well 260 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 8 SHALE <br /> 8 27 j SAND <br /> 27 41 CLAY <br /> 41 68 SAND <br /> 68 71 CLAY <br /> 71 94 SAND&GRAVEL <br /> 94 106 CLAY <br /> 106 134 SAND&GRAVEL <br /> 134 151 CLAY <br /> 151 160 SAND <br /> 160 179 CLAY <br /> 179 1 183 1 SHALE <br /> 183 1 186 1 SAND <br /> Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />