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N State of California Well Completion Report Form DWR 188 Submitted 7/21/2021 WCR2021-009144 Owner's Well Number Date Work Began 04/21/2021 Local Permit Agency San Joaquin County Environmental Health Department Secondary Permit Agency Permit Number WP0041932 Well Owner (must remain confidential pursuant to Water Code 13752) Name EDDIE SERRATO Mailing Address 8830 W VALPICO RD City TRACY State CA Zip 95304 II Well Location Date Work Ended 04/21/2021 Permit Date 04/15/2021 Planned Use and Activity Activity New Well Planned Use Water SUDDIv Domestic Address 8883 W VALPICO RD APN 248-110-050 City TRACY Zip 95304 County San Joaquin Township 03 S 37.9151 N Longitude -121 24 50.9579 W Range 05 E Section 03 Sec. Deg. Min. Sec. Baseline Meridian Mount Diablo Dec. Long. -121.414155 Ground Surface Elevation 109 Horizontal Datum WGS84 Elevation Accuracy Unknown Location Determination Method GPS Elevation Determination Method Digital Aerial Photo Latitude 37 42 Deg. Min. Dec. Lat. 37.710532 Vertical Datum Location Accuracy Unknown 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 8 13 Depth to Static Drilling Method Direct Rotary Drilling Fluid Bentonite 21 28 SAND AND GRAVEL 28 29 Water Level 112 (Feet) Date Measured 04/21/2021 Estimated Yield' (GPM) Test Type Air Lift 29 33 Total Depth of Boring 295 Feet Test Length (Hours) Total Drawdown (feet) Total Depth of Completed Well 265 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 8 CLAY 8 13 SAND AND GRAVEL 13 21 CLAY 21 28 SAND AND GRAVEL 28 29 CLAY 29 33 SAND AND GRAVEL 33 43 CLAY 43 53 GRAVEL AND ROCKS 53 68 CLAY 68 80 GRAVEL 80 83 CLAY 83 88 GRAVEL 88 98 CLAY 98 148 j GRAVEL Form DWR 188 rev. 12/19/2017 Page 1 of 2