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State of California Well Completion Report Form DWR 188 Submitted 3/24/2022 WCR2022-003422 Owner's Well Number Date Work Began 09/01/2021 Local Permit Agency San Joaquin County Environmental Health Department Secondary Permit Agency Permit Number WP0042344 Well Owner (must remain confidential pursuant to Water Code 13752) Name GARY ZEIHER Mailing Address 4700 FIG AVE Date Work Ended 09/02/2021 Permit Date 07/27/2021 Planned Use and Activity Activity New Well Planned Use Water Supply Irrigation - Agriculture City MANTECA State CA Zip 95337 11 1 Well Location Address 4700 FIG AVE APN 226-040-020 City MANTECA Zip 95337 County San Joaquin Township 02S Latitude 37 45 41.6916 N Longitude -121 14 56.6159 W Range 07 E Section 18 Deg. Min. Sec. Deg. Min. Sec. Baseline Meridian Mount Diablo Dec. Lat. 37.761581 Dec. Long. -121.24906 Ground Surface Elevation 31 Vertical Datum Horizontal Datum WGS84 Elevation Accuracy Unknown Location Accuracy Location Determination Elevation Determination Method 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 17 21 Depth to Static Drilling Method Direct Rotary Drilling Fluid Bentonite Water Level 20 (Feet) Date Measured 09/02/2021 CLAY 67 70 Estimated Yield* (GPM) Test Type Air Lift 70 73 Total Depth of Boring 290 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 Feet to Feet Description 0 3 TOP SOIL 3 17 SAND 17 21 CLAY 21 27 SAND 27 67 CLAY 67 70 SAND 70 73 BLUE CLAY 73 83 SAND 83 90 BROWN CLAY 90 98 SAND 98 101 BLUE CLAY 101 113 SAND 113 148 BROWN CLAY 148 152 SAND Form DWR 188 rev. 12/19/2017 Page 1 of 2