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State of California <br /> Well Completion Report <br /> Form DWR 188 Submitted 5/13/2020 <br /> WCR2020-006231 <br /> Owner's Well Number Date Work Began 04/27/2020 Date Work Ended 04/28/2020 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number WP0040747 Permit Date 04/22/2020 <br /> Well Owner(must remain confidential pursuant to Water Code 13752) Planned Use and Activity <br /> Name MARIO JAQUES Activity New Well <br /> Mailing Address 475 S.CORRAL HALLOW RD Planned Use Water Supply Domestic <br /> City TRACY State CA Zip 95376 <br /> Well Location <br /> Address 13285 S WILLOW GLEN RD APN 191-04-011 <br /> City STOCKTON Zip 95206 County San Joaquin Township 01 S <br /> Latitude 37 50 33.63 N Longitude -121 22 44.6808 W Range 05 E <br /> Section 13 <br /> Deg. Min. Sec. Deg. Min. Sec. Baseline Meridian Mount Diablo <br /> Dec.Lat. 37.842675 Dec.Long. -121.379078 Ground Surface Elevation 10 <br /> Vertical Datum Horizontal Datum WGS84 Elevation Accuracy Unknown <br /> Location Accuracy Unknown Location Determination Method Other Elevation Determination Method Digital Aerial Photo <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 16 (Feet) Date Measured 04/28/2020 <br /> Total Depth of Boring 85 Feet Estimated Yield* (GPM) Test Type Air Lift <br /> Test Length (Hours) Total Drawdown (feet) <br /> Total Depth of Completed Well 85 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 14 SAND <br /> 14 26 CLAY <br /> 26 85 SAND <br /> Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />