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State of California <br /> Well Completion Report <br /> Form DWR 188 Submitted 81812022 <br /> WCR2022-009195 <br /> Owner's Well Number Date Work Began 07/21/2022 Date Work Ended 08/01/2022 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number 42013 Permit Date 01/27/2022 <br /> Weil Ower(miusreman�onfiden ill pur`su�hxtd <br /> 43, <br /> C <br /> IT <br /> Name Manuel Berumen Activity New Well <br /> Mailing Address 9380 Temple Creek Rd. Planned Use Water Supply Domestic <br /> City Escalon State CA Zip 95320 <br /> Address 9380 Temple Creek RD APN 205-190-17 <br /> City Escalon Zip 95320 County San Joaquin Township 01S <br /> Latitude 37 52 54.3313 N Longitude -121 2 19.4132 W Range 08 E <br /> Section 01 <br /> Deg. Min. Sec. Deg. Min. Sec. Baseline Meridian Mount Diablo <br /> Dec.Lat. 37.8817587 Dec.Long. -121.0387259 Ground Surface Elevation <br /> Vertical Datum Horizontal Datum WGS84 Elevation Accuracy <br /> Location Accuracy Location Determination Elevation Determination Method <br /> Method <br /> 'PIN <br /> --618 d <br /> ? ANNte. <br /> fl-il, <br /> Orientation Vertical Specify Depth to first water (Feet below surface) <br /> Depth to Static <br /> Drilling Method Other-Mud Rotary Drilling Fluid Water <br /> Water Level 138 (Feet) Date Measured 08/01/2022 <br /> Total Depth of Boring 300 Feet Estimated Yeld* (GPM) Test Type Air Lift <br /> Test Length (Hours) Total Drawdown (feet) <br /> Total Depth of Completed Well 300 Feet I *May not be representative of a well's long term yield. <br /> ■''0 <br /> iF 51917; <br /> Depth from <br /> Surface Description <br /> Feet to Feet <br /> 0 2 topsoil <br /> 2 35 clay <br /> 35 44 sand <br /> 44 50 clay/sand streaks <br /> 50 110 clay <br /> 110 112 sand <br /> 112 141 clay <br /> 141 145 gravel/sand <br /> 145 260 clay/shale <br /> 260 300 sand/gravel <br /> Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />