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State of California Well Completion Report Form DWR 188 Submitted 8/15/2022 WCR2022-009514 Owner's Well Number Date Work Began 07/26/2022 Local Permit Agency San Joaquin County Environmental Health Department Secondary Permit Agency Permit Number WP0043405 Well Owner (must remain confidential pursuant to Water Code 13752) Name RODNEY KROMANN Mailing Address 26089 MAGNOLIA AVE. City ESCALON State CA Zip 95320 Well Location Date Work Ended 07/27/2022 Permit Date 06/21/2022 Planned Use and Activity Activity New Well Planned Use Water Supplv Domestic Address 26089 MAGNOLIA AVE APN 229-080-840 City ESCALON Zip 95320 County San Joaquin Township 01S Latitude 37 49 6.5964 N Longitude -120 59 21.8507 W Range 09 E Section 28 Deg. Min. Sec. Deg. Min. Sec. Baseline Meridian Mount Diablo Dec. Lat. 37.818499 Dec. Long. -120.989403 Ground Surface Elevation 123 Vertical Datum Horizontal Datum WGS84 Elevation Accuracy Unknown Location Accuracy >50 Ft Location Determination GPS Elevation Determination Method Digital Aerial Photo Method Borehole Information Depth from Surface Feet to Feet Water Level and Yield of Completed Well Orientation Vertical Specify Depth to first water (Feet below surface) CLAY SAND 28 34 Depth to Static Drilling Method Direct Rotary Drilling Fluid Bentonite Water Level 104 (Feet) Date Measured 07/27/2022 CLAY 46 55 55 71 Estimated Yield* (GPM) Test Type Air Lift 71 119 Total Depth of Boring 375 Feet Test Length (Hours) Total Drawdown (feet) Total Depth of Completed Well 360 Feet *May not be representative of a well's long term yield. Geologic Log - Free Form Depth from Surface Feet to Feet Description 0 3 TOP SOIL 3 13 13 28 CLAY SAND 28 34 CLAY 34 41 SAND 41 46 CLAY 46 55 55 71 SAND & GRAVEL CLAY 71 119 SAND & GRAVEL 119 136 SHALE 136 147 SAND 147 156 CLAY 156 175 SAND & GRAVEL 175 268 CLAY Form DWR 188 rev. 12/19/2017 Page 1 of 2