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State of California Well Completion Report Form DWR 188 Submitted 7/27/2022 WCR2022-008544 Owner's Well Number Date Work Began 06/08/2021 Local Permit Agency San Joaquin County Environmental Health Department Secondary Permit Agency Permit Number WP0042034 Well Owner (must remain confidential pursuant to Water Code 13752) Name MARY ROCHE Mailing Address 30163 HALL RD. City ESCALON State CA Zip 95320 11 Well Location Date Work Ended 06/09/2021 Permit Date 05/12/2021 Planned Use and Activity Activity New Well Planned Use Water Supply Domestic Address 30163 HALL RD APN 249-080-100 City ESCALON Zip 95320 County San Joaquin Township 02S Latitude 37 45 32.2668 N Longitude -120 56 19.8239 W Range 09 E Section 13 Deg. Min. Sec. Deg. Min. Sec. Baseline Meridian Mount Diablo Dec. Lat. 37.758963 Dec. Long. -120.93884 Ground Surface Elevation 138 Vertical Datum Horizontal Datum WGS84 Elevation Accuracy Unknown Location Accuracy >50 Ft Location Determination GPS Elevation Determination Method Digital Aerial Photo Method 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) SAND 12 23 Depth to Static Drilling Method Direct Rotary Drilling Fluid Bentonite Water Level 80 (Feet) Date Measured 06/09/2021 Estimated Yield* (GPM) Test Type Air Lift SAND Total Depth of Boring 280 Feet Test Length (Hours) Total Drawdown (feet) Total Depth of Completed Well 270 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 12 SAND 12 23 GRAVEL 23 45 CLAY 45 54 SAND 54 58 GRAVEL 58 64 CLAY 64 94 GRAVEL 94 117 CLAY 117 128 SAND 128 143 CLAY 143 148 SAND 148 151 CLAY 151 154 SAND Form DWR 188 rev. 12/19/2017 Page 1 of 2