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T a State of California Well Completion Report Form DWR 188 Submitted 8/8/2022 W C R2022-009194 Owner's Well Number Date Work Began 10/08/2021 Date Work Ended 10/08/2021 Local Permit Agency San Joaquin County Environmental Health Department Secondary Permit Agency Permit Number WP0041919 Permit Date 04/09/2021 Well Owner(must remain confidential pursuant to Water Code 13752) Planned Use and Activity Name JOE DASILVA Activity New Well Mailing Address 24666 MARIPOSA RD. Planned Use Water Supply Domestic City ESCALON State CA Zip 95320 Well Location Address 26263 DOVE RD APN 207-200-320 City ESCALON Zip 95320 County San Joaquin Township 01 S Latitude 37 51 0.7668 N Longitude -120 59 19.0068 W Range 09 E Section 16 Deg. Min. Sec. Deg. Min. Sec. Baseline Meridian Mount Diablo Dec.Lat. 37.850213 Dec.Long. -120.988613 Ground Surface Elevation 123 Vertical Datum Horizontal Datum WGS84 Elevation Accuracy Unknown Location Accuracy Location Determination 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 116 (Feet) Date Measured 10/08/2021 Estimated Yield' (GPM) Test Type Air Lift Total Depth of Boring 325 Feet Test Length (Hours) Total Drawdown (feet) Total Depth of Completed Well 305 Feet May not be representative of a well's long term yield. Geologic Log - Free Form Depth from Surface Description Feet to Feet 0 1 TOP SOIL 1 6 HARD PAN 6 18 SAND 18 22 CLAY 22 j 34 SAND 34 54 CLAY 54 63 SAND 63 78 CLAY 78 88 SAND 88 108 CLAY 108 109 GRAVEL 109 124 CLAY 124 130 GRAVEL 130 155 CLAY Form DWR 188 rev. 12/19/2017 Page 1 of 2