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State of California <br />Well Completion Report <br />Form DWR 188 Submitted 8/8/2022 <br />WCR2022-009209 <br />Owner's Well Number Date Work Began 11/16/2021 <br />Local Permit Agency San Joaquin County Environmental Health Department <br />Secondary Permit Agency Permit Number WP0042681 <br />Well Owner (must remain confidential pursuant to Water Code 13752) <br />Name BRETT LAGORIO <br />Mailing Address 20001 E. FLOOD RD. <br />City LINDEN <br />State CA Zip 95236 <br />Well Location <br />Date Work Ended 11/17/2021 <br />Permit Date 10/20/2021 <br />Planned Use and Activity <br />Activity New Well <br />Planned Use Water Supply Domestic <br />Address 21251 E FLOOD RD APN 105-260-040 <br />City LINDEN Zip 95236 County San Joaquin Township 02 N <br />Latitude 38 1 0.2639 N Longitude -121 3 19.6127 W Range 08 E <br />Section 13 <br />Deg. Min. Sec. Deg. Min. Sec. <br />Baseline Meridian Mount Diablo <br />Dec. Lat. 38.01674 Dec. Long. -121.055448 Ground Surface Elevation 106 <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 />1 CLAY <br />8 33 <br />Depth to Static <br />Drilling Method Direct Rotary Drilling Fluid <br />Bentonite <br />Water Level 162 (Feet) Date Measured 11/17/2021 <br />SAND <br />93 130 <br />Estimated Yield' (GPM) Test Type Air Lift <br />130 143 <br />Total Depth of Boring 380 <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 8 <br />1 CLAY <br />8 33 <br />GRAVEL & ROCKS <br />33 60 <br />CLAY <br />60 93 <br />SAND <br />93 130 <br />CLAY <br />130 143 <br />j SAND <br />143 165 <br />CLAY <br />165 171 <br />GRAVEL <br />171 205 <br />CLAY <br />205 218 <br />SAND <br />218 232 <br />CLAY <br />232 235 <br />SAND <br />235 238 <br />CLAY <br />Form DWR 188 rev. 12/19/2017 Page 1 of 3 <br />