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State of Califomia <br /> Well Completion Report <br /> Form DWR 188 Submitted 6/12/2018 <br /> WCR2018-004537 <br /> Owners Well Number Weil#1 Date Work Began 06/07/2018 Date Work Ended 06/11/2018 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number 38379 Permit Date 06/01/2018 <br /> Well Owner(must retrain confidential pumuant to Water Code-.13752) Former Use <br /> Name LEWIS MANAGEMENT CORP., Activity Destroy <br /> Mailing Address 1156 N.Mountain Ave. Former Use Water Supply <br /> City Upland State CA Zip 91786 <br /> i Well Location. <br /> Address 2655 Henley RD APN 238-600-39 <br /> City Tracy Zip 95377 County San Joaquin Township <br /> Latitude N Longitude W Range <br /> Section <br /> Deg. Min. Sec. Deg, Min. Sec. <br /> Baseline Meridian <br /> Dec.Lat. Dec.Long. <br /> Ground Surface Elevation <br /> Vertical Datum Horizontal Datum WGS84 Elevation Accuracy <br /> Location Accuracy Location Determination Method Elevation Determination Method <br /> Bor�ho 6 hfdrmation Water tevef and Yield of Corrlplett3d V1re is _: <br /> Orientation Vertical Specify Depth to first water (Feet below surface)1` <br /> Drilling Method Drilling Fluid Depth to Static <br /> Water Level (Feet) Date Measured <br /> Total Depth of Boring Feet Estimated Yield' (GPM) Test Type <br /> Test Length (Hours) Total Drawdown (feet) <br /> Total Depth of Completed Well 160 Feet 'May not be representative of a well's long term yield. <br /> Destruction Details: <br /> Dug down 4',cul casing,pumped with Bentonite from 0'to 160'. <br /> Other Observations: <br /> RECEIVED <br /> AUG 2 7 ?pyo <br /> ENVIRONMENTAL <br /> H <br /> ARTMENT <br /> Form DWR 188 rev. 12/19/2017 Page_L of_2_ <br />