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QUADRUPLICATE STATE OF CALIFORNIA For Local Requirements WELL COMPLETION REPORT Page 1 of 1 Refer to Instruction Pamphlet Owner's Well No. 95330 No. e0365023 Date Work Began 3/7/2018 , Ended3/8/2018 Local Permit Agency Environmental Hpalth Permit No. wp0037940 Permit Date 2/9/2018 GEOLOGIC LOG ORIENTATION (✓) v- VERTICAL — HORIZONTAL — ANGLE —(SPECIFY) DRILLING ROTARY DEPTH FROM METHOD FLUID MUD DESCRIPTION Describe 0 21 Top 2 81 Sand 8 831 Clay 83 93 Sand 93 108 Clay 108 112 Sand 112 125 Clay 125 133 Sand 133 140 Clay 140 146 Sand 146 148 Clay 148 150 Sand 150 158 Clay 158 160 Sand 160 165 Clay 165 178 Sand 178 193 Clay 208 232 248 248 253 253 295 TOTAL DEPTH OF BORING 295 (Feet) TOTAL DEPTH OF COMPLETED WELL 260 (Feet) color, etc. DWR USE ONLY — DO NOT FILL IN STATE WELL NO./ STATION NO. LATITUDE LONGITUDE APN/TRS/OTHER WELL OWNER Name Vernalis Enterprises Inc. Mailing Address P.O. BOX 510 Lathrop CA 95330 CITY STATE ZIP Address 23273 S Olive RT'LL LOCATION City Ripon CA 95366 County San Joaquin APN Book Page Parcel Township Range Section Latitude I I I DEG. MIN. SEC. DEG. MIN. SEC. LOCATION SKETCH ACTIVITY NORTH ------�— NEW WELL SOUTH Illustrate or Describe Distance of Well from Roads, Buildings, Fences, Rivers, etc. and attach a map. Use additional paper if necessary. PLEASE BE ACCURATE & COMPLETE. MONITORING — TEST WELL — ATHODIC PROTECTION_ HEAT EXCHANGE— DIRECT PUSH_ INJECTION — VAPOR EXTRACTION — SPARGING REMEDIATION OTHER (SPECIFY) WATER LEVEL & YIELD OF COMPLETED WELL DEPTH TO FIRST WATER (Ft.) BELOW SURFACE DEPTH OF STAT C WATER LEVEL (FL) & DATE MEASURED 3/8/2018 ESTIMATED YIELD' (GPM) & TEST TYPE TEST LENGTH (Hrs.) TOTAL DRAWDOWN (Ft.) DEPTH FROM SURFACE MODIFICATION/REPAIR -- Deepen — Other (Specify) — DESTROY (Describe CASING (S) Procedures and Materials MATERIAL TY E FILL ✓✓ 06 06 Under "GEOLOGIC LOG' TYPE ✓ ) Y W a MATERIAL! INTERNAL GAUGE SLOT SIZE Z 0 a GRADE DIAMETER OR WALL F ANY t � (Inches) THICKNESS (Inches) LL PLANNED USES (.+L ) 0 WATER SUPPLY N N Domestic — Public Industrial ul Inigation _ SOUTH Illustrate or Describe Distance of Well from Roads, Buildings, Fences, Rivers, etc. and attach a map. Use additional paper if necessary. PLEASE BE ACCURATE & COMPLETE. MONITORING — TEST WELL — ATHODIC PROTECTION_ HEAT EXCHANGE— DIRECT PUSH_ INJECTION — VAPOR EXTRACTION — SPARGING REMEDIATION OTHER (SPECIFY) WATER LEVEL & YIELD OF COMPLETED WELL DEPTH TO FIRST WATER (Ft.) BELOW SURFACE DEPTH OF STAT C WATER LEVEL (FL) & DATE MEASURED 3/8/2018 ESTIMATED YIELD' (GPM) & TEST TYPE TEST LENGTH (Hrs.) TOTAL DRAWDOWN (Ft.) DEPTH FROM SURFACE BORE - HOLE DIA. (Inc'es) CASING (S) DEPTH ANNULAR FROM SURFACE CE- BEN - MENT TONT Ft. to Ft. ✓ (✓) MATERIAL TY E FILL ✓✓ 06 06 FILTER PACK (TYPE/SIZE) TYPE ✓ ) Y W a MATERIAL! INTERNAL GAUGE SLOT SIZE Z 0 a GRADE DIAMETER OR WALL F ANY t � (Inches) THICKNESS (Inches) LL Ft. to Ft, 0 140 21 PLASTIC 12 200 0 50 140 260 4 V/GRAVEL A1.1Al;HM9Pf15 CERTIFICATION STATEMENT — Geologic Log I, the undersigned, certify that this report Is complete and accurate to the best of my knowledge and belief. — Well Construction Diagram NAME MASELLIS DRILLING INC — Geophysical Log(s) (PERSON, FIR O TI (TYRE Flft(NTEQ) — SoiltWater Chemical Analysis 119 Al >s� Modesto — Other ADDRESS - CITY ATTACH ADDITIONAL INFORMATION, IF IT EXISTS. Signed 03/23/18 WELL DRILLER/AUTHORIZED REPRESENTATIVE DATE SIGNED DWR 188 REV. 11-97 IF ADDITIONAL SPACE IS NEEDED, USE NEXT CONSECUTIVELY NUMBERED FORM STATE ZIP 668622 C-57 LICENSE NUMBER