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State of California Well Completion Report Form DWR 188 Submitted 10/10/2018 WCR2018-009024 Owner's Well Number Date Work Began 09/07/2018 Date Work Ended 09/14/2018 Local Permit Agency San Joaquin County Environmental Health Department Secondary Permit Agency Permit Number 38619 Permit Date 07/31/2018 Well Owner (must remain confidential pursuant to Water Code 13752) Planned Use and Activity Name Anthony Rocha Activity New Well Mailing Address 26847 Narcissus Road Planned Use Water Supply Domestic City Escalon State Ca Zip 95320 Well Location Address 26847 Narcissus RD APN 24715030 City Escalon Zip 95320 County San Joaquin Township Latitude N Longitude W Range Section Deg. Min. Sec. Deg. Min. Sec. Baseline Meridian Dec.Lat. Dec.Long. Ground Surface Elevation Vertical Datum Horizontal Datum WGS84 Elevation Accuracy Location Accuracy Location Determination Method Elevation Determination Method Borehole Information Water Level and Yield of Completed Well Orientation Vertical Specify Depth to first water (Feet below surface) Drilling Method Other-mud rotary Drilling Fluid Water Depth to Static Water Level 70 (Feet) Date Measured 09/14/2018 Total Depth of Boring 330 Feet Estimated Yield* (GPM) Test Type Test Length (Hours) Total Drawdown (feet) Total Depth of Completed Well 330 Feet *May not be representative of a well's long term yield. Geologic Log - Lite Depth from Surface Material Type Material Color Material Texture Material Description Feet to Feet 0 1 Soil or Organic 1 4 Soil or Organic Sandy 4 10 Sand 10 19 Sand Hard 19 23 Sand 23 32 Sand W/Gravel 32 44 Clay 44 46 Sand 46 64 Clay 64 66 Sand W/Gravel 66 85 Clay 85 87 Sand 87 112 Clay 112 126 Sand 126 129 Clay Form DWR 188 rev. 12/19/2017 Page 1 of 2