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RECEIVED State of Califomia AUG 21 2018 Completion Report EtftRUNMtN VAL HEALTH Well Com P P DEPARTMENT Form DWR 188 Submitted 6/6/2018 WCR2018-004390 Owners Well Number Date Work Began 05/09/2018 Date Work Ended 05/18/2018 Local Permit Agency San Joaquin County Environmental Health Department Secondary Permit Agency Permit Number 38203 Permit Date 04/30/2018 Well Owner(must remain confidential pursuant to Water Code 13752) Planned Use and Activity Name Carmen Silva Activity New Well Mailing Address 25800 S.Lammers Rd. Planned Use Water Supply Domestic City Tracy State CA Zip 95377 Well Location Address 25800 S Lammers RD APN 240-680-05 City Tracy Zip 95377 County San Joaquin Township Latitude N Longitude W Range Section Deg. Min. Sec. Deg. Min. Sec. Baseline Meridian Dec.Let. Dec.Long. Ground Surface Elevation Vertical Datum Horizontal Datum WGS84 Elevation Accuracy Location Accuracy Location Determination Method Elevation Determination Method Borehole Information Water Level'and Yield of Completed Well Orientation Vertical Specify Depth to first water 128 (Feet below surface) Drilling Method Other-Mud rotary Drilling Fluid Water Depth to Static Water Level (Feet) Date Measured 05/18/2018 Total Depth of Boring 280 Feet Estimated Yield' (GPM) Test Type Test Length (Hours) Total Drawdown (feet) Total Depth of Completed Well 280 Feet 'May not be representative of a well's long term yield. 'Geologic,Log ,Free:F,orm: Depth from Surface Description Feet to Feet 0 6 Clay 6 11 1 Sand&gravel 11 14 Clay 14 37 Sand 37 48 Shale 48 53 Sand&gravel 53 56 1 Clay 56 62 Pea size gravel 62 160 Clay 160 186 Clay 186 187 Sand 187 194 1 Clay 194 201 Shale 201 211 Clay 211 214 Sand Form DWR 188 rev. 12/19/2017 Page-L of.2—