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Y State of California Well Completion Report Form DWR 188 Submitted 7/19/2023 WCR2023-008022 Owner's Well Number Date Work Began 06/12/2023 Date Work Ended 07/03/2023 Local Permit Agency San Joaquin County Environmental Health Department Secondary Permit Agency Permit Number WP0042593 Permit Date 09/28/2021 Well Owner(must remain confidential pursuant to Water Code 13752) Planned Use and Activity Name JOE MARTIN Activity New Well Mailing Address 7532 S HENRY RD Planned Use Water Supply Irrigation- Agriculture City FARMINGTON State CA Zip 95230 Well Location Address 7720 S HENRY RD APN 187-410-060 City FARMINGTON Zip 95230 County San Joaquin Township 01 N Latitude 37 53 42.4788 N Longitude -120 56 22.2215 W Range 09 E Section 36 Deg. Min. Sec. Deg. Min. Sec. Baseline Meridian Mount Diablo Dec.Lat. 37.895133 Dec.Long. -120.939506 Ground Surface Elevation 154 Vertical Datum Horizontal Datum Elevation Accuracy Unknown Location Accuracy >50 Ft Location Determination GPS Elevation Determination Method Digital Aerial Photo Method Borehole Information Water Level and Yield of Completed Well Orientation Vertical Specify Depth to first water (Feet below surface) Depth to Static Drilling Method Direct Rotary Drilling Fluid Bentonite Water Level 147.6 (Feet) Date Measured 07/03/2023 Total Depth of Boring 500 Feet Estimated Yield* (GPM) Test Type Air Lift Test Length (Hours) Total Drawdown (feet) Total Depth of Completed Well 480 Feet *May not be representative of a well's long term yield. Geologic Log -Free Form Depth from Surface Description Feet to Feet 0 3 TOP SOIL 3 14 SAND&GRAVEL 14 16 CLAY 16 31 GRAVEL 31 147 CLAY 147 164 SHALE 164 169 BLACK SAND 169 182 SHALE 182 184 BLACK SAND 184 194 SHALE 194 199 BLACK SAND 199 222 SHALE 222 254 BLACK FINE SAND 254 259 SHALE Form DWR 188 rev. 12/19/2017 Page 1 of 3