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State of California <br />Well Completion Report <br />Form DWR 188 Submitted 6/4/2018 <br />WCR2018-004323 <br />Owner's Well Number C1179 Date Work Began 05/30/2018 <br />Local Permit Agency San Joaquin County Environmental Health Department <br />Secondary Permit Agency Permit Number WP0038297 <br />Well Owner (must remain confidential pursuant to Water Code 13752) <br />Name PG&E, <br />Mailing Address 6121 Bollinger Canyon Rd <br />City San Ramon State CA Zip 94583 <br />Well Location <br />RECEIVED <br />JUL 09 2G <br />E N V I RO N.N I F' NTA 1, 11[].kUI'FI <br />Date Work DER RMIU1V-048 <br />Permit Date 05/23/2018 <br />Planned Use and Activity <br />Activity New Well <br />Planned Use Cathodic Protection <br />Address 5501 W Ripon RD APN <br />City Manteca Zip 95337 County San Joaquin Township 02S <br />Latitude N Longitude W Range 07 E <br />Section 19 <br />Deg. Min. Sec. Deg. Min. Sec. <br />Baseline Meridian Mount Diablo <br />Dec. Lat. 37.7394303 Dec. Long. -121.2384421 Ground Surface Elevation <br />Vertical Datum Horizontal Datum WGS84 Elevation Accuracy <br />Location Accuracy Location Determination Method Elevation Determination Method <br />Borehole Information <br />Water Level and Yield of Completed Well <br />Orientation Vertical <br />Specify <br />Depth to first water (Feet below surface) <br />0 1 <br />Asphalt <br />Depth to Static <br />Drilling Method Direct Rotary Drilling Fluid <br />Bentonite <br />Brown Fine <br />15 20 <br />Silty Sand <br />Water Level (Feet) Date Measured <br />Estimated Yield* (GPM) Test Type <br />20 90 <br />Total Depth of Boring 203 <br />Feet <br />90 95 <br />Clay <br />Light Brown Soft <br />Test Length (Hours) Total Drawdown (feet) <br />Total Depth of Completed Well 200 <br />Feet <br />*May not be representative of a well's long term yield. <br />Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />Geologic Log - Lite <br />Depth from <br />Surface <br />Feet to Feet <br />Material Type <br />Material Color Material Texture Material Description <br />0 1 <br />Asphalt <br />1 15 <br />Sand <br />Brown Fine <br />15 20 <br />Silty Sand <br />Brown <br />20 90 <br />Sand <br />Brown Fine To Coarse <br />90 95 <br />Clay <br />Light Brown Soft <br />95 180 <br />Sand <br />Brown Fine To Coarse <br />180 190 <br />Gravel <br />Brown 1/4" Pea Gravel <br />190 203 <br />Clay <br />Brown Sticky <br />Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />