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State of Califomia <br /> Well Completion Report <br /> Form DWR 188 Submitted 10113/2020 <br /> WCR2020-014487 <br /> Owner's Well Number Date Work Began 10/05/2020 Date Work Ended 10/09/2020 <br /> Local Permit Agency San.Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number 40545 Permit Date 02/20/2020 <br /> Well Owner{must remain confidential pursuallt ti Water Code 13752) ` Planned:.Use and Activity <br /> Name Rick Veldstra Activity New Well <br /> Mailing Address 18450 E.Dodds Rd. Planned Use Water Supply Domestic <br /> City Escalon State CA Zip 95320 <br /> Well Location <br /> Address 18450 E Dodds RD APN 205-040-02 <br /> City Escalon Zip 95320 County San.Joaquin Township 01 S <br /> Latitude 37 51 17.1622 N Longitude -121 5 1.689 W Range 08 E <br /> Section 15 <br /> Deg. Min. Sec. Deg. Min. Sec. Baseline Meridian Mount Diablo <br /> Dec.Lat. 37.8547673 Dec.Long. -121.0838025 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. <br /> an <br /> eve d Yield of Completed We I <br /> Orientation Vertical Specify Depth to first water (Feet below surface) <br /> Depth to Static <br /> Drilling Method Other-Mud rotary Drilling Fluid Water Water Level 104 (Feet) Date Measured 10/09/2020 <br /> Total Depth of Boring 295 Feet Estimated Yield* (GPM) Test Type Air Lift <br /> Test Length (Hours) Total Drawdown (feet) <br /> Total Depth of Completed Well 295 Feet 'May not be representative of a well's long term yield. <br /> .: :Geologic Log -Free Forme:; .: <br /> Depth from <br /> Surface Description <br /> Feet to Feet <br /> 0 2 topsoil <br /> 2 15 clay <br /> 15 33 sand <br /> 33 45 clay <br /> 45 48 sand <br /> 48 58 clay <br /> 58 61 sand <br /> 61 90 clay <br /> 90 98 sand-fine <br /> 98 115 clay <br /> 115 123 sand <br /> 123 256 clay <br /> 256 261 shale <br /> H261 275 clay <br /> 275 295 sand&gravel <br /> Form DWR 188 rev. 12/19/2017 Page_L of 2 <br />