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r State of California Well Completion Report Form DWR 188 Submitted 4/19/2023 WCR2023-004730 Owner's Well Number Date Work Began 04/13/2023 Date Work Ended 04/17/2023 Local Permit Agency San Joaquin County Environmental Health Department Secondary Permit Agency Permit Number WP0044051 Permit Date 11/15/2022 Well Owner(must remain confidential pursuant to Water Code 13752) Planned Use and Activity Name THOMAS DOTINGA Activity New Well Mailing Address PO BOX 1561 Planned Use Water Supply Domestic City OAKDALE State CA Zip 95361 Well Location Address 17339 CAMPBELL AVE APN 227-390-110 City ESCALON Zip 95320 County San Joaquin Township 01 S Latitude 37 48 18.3959 N Longitude -120 58 47.6328 W Range 09 E Section 33 Deg. Min. Sec. Deg. Min. Sec. Baseline Meridian Mount Diablo Dec.Lat. 37.80511 Dec.Long. -120.979898 Ground Surface Elevation 131 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) P fY Depth to Static Drilling Method Direct Rotary Drilling Fluid Bentonite Water Level 94 (Feet) Date Measured 04/17/2023 Estimated Yield* (GPM) Test Type Air Lift Total Depth of Boring 345 Feet Test Length (Hours) Total Drawdown (feet) Total Depth of Completed Well 280 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 TOP SOIL 6 21 SAND 21 36 CLAY 36 43 GRAVEL 43 95 CLAY 95 104 GRAVEL 104 113 CLAY 113 116 GRAVEL 116 149 CLAY 149 153 SAND 153 171 SHALE 171 179 SAND 179 231 CLAY 231 233 SAND Form DWR 188 rev. 12/19/2017 Page 1 of 2