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State of California Well Completion Report Form DWR 188 Submitted 9/14/2022 WCR2022-010680 Owner's Well Number Date Work Began 09/09/2022 Local Permit Agency San Joaquin County Environmental Health Department Secondary Permit Agency Permit Number WP0043074 Well Owner (must remain confidential pursuant to Water Code 13752) Name MARTIN MEYERS Mailing Address 16972 SEIDNER RD City ESCALON State CA Zip 95320 Well Location Date Work Ended 09/12/2022 Permit Date 03/14/2022 Planned Use and Activity Activity New Well Planned Use Water SUDDIV Domestic Address 16972 SEIDNER RD APN 229-160-080 City ESCALON Zip 95320 County San Joaquin Township 01 S Latitude 37 48 30.3587 N Longitude -120 57 2.3328 W Range 09 E Section 35 Deg. Min. Sec. Deg. Min. Sec. Baseline Meridian Mount Diablo Dec. Lat. 37.808433 Dec. Long. -120.950648 Ground Surface Elevation 143 Vertical Datum Horizontal Datum WGS84 Elevation Accuracy Unknown Location Accuracy >50 Ft Location Determination GPS Elevation Determination Method Digital Aerial Photo Method Borehole Information Orientation Vertical Drilling Method Direct Rotary Drilling Fluid Specify Bentonite Water Level and Yield of Completed Well Depth to first water (Feet below surface) Depth to Static Water Level 100 (Feet) Date Measured 09/12/2022 Estimated Yield* (GPM) Test Type Air Lift Test Length (Hours) Total Drawdown (feet) *May not be representative of a well's long term yield. Total Depth of Boring 325 Feet Total Depth of Completed Well 300 Feet Geologic Log - Free Form Depth from Surface Feet to Feet Description 0 3 TOP SOIL 3 5 HARD PAN 5 19 SAND 19 43 CLAY 43 50 SAND 50 139 CLAY 139 154 GRAVEL 154 283 CLAY 283 296 BLACK SAND & GRAVEL 296 325 CLAY Form DWR 188 rev. 12/19/2017 Page 1 of 2