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State of California Well Completion Report Form DWR 188 Submitted 4/20/2023 WCR2023-004738 Owner's Well Number Date Work Began 04/11/2023 Date Work Ended 04/19/2023 Local Permit Agency San Joaquin County Environmental Health Department Secondary Permit Agency Permit Number WP0043737 Permit Date 09/01/2022 Well Owner(must remain confidential pursuant to Water Code 13752) Planned Use and Activity Name JOHN BRICHETTO Activity New Well Mailing Address PO BOX 11600 Planned Use Water Supply Domestic City OAKDALE State CA Zip 95361 Well Location Address 15809 VICTORY RD APN 229-220-020 City OAKDALE Zip 95361 County San Joaquin Township 01S Latitude 37 49 12.2952 N Longitude -120 55 27.4475 W Range 09E Section 25 Deg. Min. Sec. Deg. Min. Sec. Baseline Meridian Mount Diablo Dec.Lat. 37.820082 Dec.Long. -120.924291 Ground Surface Elevation 150 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) Depth to Static Drilling Method Direct Rotary Drilling Fluid Bentonite Water Level 96 (Feet) Date Measured 04/19/2023 Estimated Yield' (GPM) Test Type Air Lift Total Depth of Boring 320 Feet Test Length (Hours) Total Drawdown (feet) Total Depth of Completed Well 290 Feet May not be representative of a well's long term yield. Geologic Log -Free Form Depth from Surface Description Feet to Feet 0 4 TOP SOIL 4 8 HARD PAN 8 10 SAND 10 15 CLAY 15 42 SAND 42 120 CLAY 120 128 BLACK SAND 128 133 CLAY 133 141 BLACK SAND 141 153 CLAY 153 156 SAND 156 216 CLAY 216 222 SAND 222 228 CLAY Form DWR 188 rev. 12/19/2017 Page 1 of 2