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State of California <br />Well Completion Report <br />Form DWR 188 Submitted 7/27/2022 <br />WCR2022-008539 <br />Owner's Well Number Date Work Began 02/10/2022 <br />Local Permit Agency San Joaquin County Environmental Health Department <br />Secondary Permit Agency Permit Number WP0042649 <br />Well Owner (must remain confidential pursuant to Water Code 13752) <br />Name JOHN/LEROY DONDERO <br />Mailing Address 1001 HOLDEN RD. <br />City LINDEN State CA Zip 95236 11 <br />Well Location <br />Date Work Ended 02/12/2022 <br />Permit Date 10/12/2021 <br />Planned Use and Activity <br />Activity New Well <br />Planned Use Water Supply Domestic <br />Address 750 HOLDEN RD APN 105-110-390 <br />City LINDEN Zip 95236 County San Joaquin Township 02 N <br />Latitude 37 58 46.4807 N Longitude -121 6 22.1292 W Range 08 E <br />Section 33 <br />Deg. Min. Sec. Deg. Min. Sec. <br />Baseline Meridian Mount Diablo <br />Dec. Lat. 37.979578 Dec. Long. -121.106147 Ground Surface Elevation 84 <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 <br />Depth from <br />Surface <br />Feet to Feet <br />Water Level and Yield of Completed Well <br />Orientation Vertical <br />Specify <br />Depth to first water (Feet below surface) <br />CLAY <br />64 66 <br />Depth to Static <br />Drilling Method Direct Rotary Drilling Fluid <br />Bentonite <br />Water Level 140 (Feet) Date Measured 02/11/2022 <br />SAND <br />87 129 <br />Estimated Yield` (GPM) Test Type Air Lift <br />129 138 <br />Total Depth of Boring 340 <br />Feet <br />Test Length (Hours) Total Drawdown (feet) <br />Total Depth of Completed Well 320 <br />Feet <br />May not be representative of a well's long term yield. <br />Geologic Log - Free Form <br />Depth from <br />Surface <br />Feet to Feet <br />Description <br />0 3 <br />TOP SOIL <br />3 64 <br />CLAY <br />64 66 <br />SAND <br />66 81 <br />CLAY <br />81 j 87 <br />SAND <br />87 129 <br />CLAY <br />129 138 <br />SAND & GRAVEL <br />138 157 <br />CLAY <br />157 160 <br />GRAVEL <br />160 214 <br />CLAY <br />214 218 <br />SAND <br />218 222 <br />CLAY <br />222 231 <br />SAND <br />231 j 239 <br />CLAY <br />Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />