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State of California Well Completion Report Form DWR 188 Submitted 8/9/2022 WCR2022-009255 Owner's Well Number Date Work Began 12/18/2021 Date Work Ended 12/19/2021 Local Permit Agency San Joaquin County Environmental Health Department Secondary Permit Agency Permit Number WP0042542 Permit Date 09/14/2021 Well Owner(must remain confidential pursuant to Water Code 13752) Planned Use and Activity Name DAVE SCHAAPMAN Activity New Well Mailing Address 15050 S.MURPHY RD. Planned Use Water Supply Domestic City ESCALON State CA Zip 95320 Well Location Address 18966 LOUISE AVE APN 205-070-090 City ESCALON Zip 95320 County San Joaquin Township 01 S Latitude 37 48 34.8911 N Longitude -121 4 37.0272 W Range 08 E Section 34 Deg. Min. Sec. Deg. Min. Sec. Baseline Meridian Mount Diablo Dec.Lat. 37.809692 Dec.Long. -121.076952 Ground Surface Elevation 84 Vertical Datum Horizontal Datum WGS84 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) Drilling Method Direct Rotary Drilling Fluid Bentonite Depth to Static Water Level 68 (Feet) Date Measured 12/19/2021 Estimated Yield' (GPM) Test Type Air Lift Total Depth of Boring 280 Feet Test Length (Hours) Total Drawdown (feet) Total Depth of Completed Well 270 Feet *May not be representative of a well's long term yield. Geologic Log - Free Form Depth from Surface Description Feet to Feet 0 6 SAND 6 11 CLAY 11 16 SAND 16 34 CLAY 34 j 51 SAND 51 71 CLAY 71 78 SAND 78 90 CLAY 90 120 SAND&GRAVEL 120 j 127 CLAY 127 130 SAND 130 161 CLAY 161 165 SAND 165 217 CLAY Form DWR 188 rev. 12/19/2017 Page 1 of 2