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State of California <br /> Well Completion Report <br /> Form DWR 188 Submitted 6/13/2018 <br /> WCR2018-004554 <br /> Owner's Well Number Well f,2 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 38380 Permit Dale 06/01/2018 <br /> Well Owner(must remain confidential pursuant 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 91766 <br /> 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. Ground Surface Elevation <br /> Vertical Datum Horizontal Datum WGS84 Elevation Accuracy <br /> Location Accuracy Location Determination Method Elevation Determination Method <br /> Borehole Information Water Level and Yield of Completed Well <br /> Orientation Vertical Specify Depth to first water (Feet below surface) <br /> Drilling Method Drilling Fluid Depth to Static <br /> Water Level (Feet) Dale Measured <br /> Total Depth of Boring Feet Estimated Yield' (GPM) Test Type <br /> Test Length (Hours) Total Drawdown (feel) <br /> Total Depth of Completed Well 200 Feet 'May not be representative of a well's long term yield. <br /> Destruction Details: <br /> Dug Down 4',cut casing,pumped with Bentonite from 0'-200'. <br /> Other Observations: <br /> RECEIVED <br /> AUG 2 7 2016 <br /> ENVtRUNMEN VAL HEALTH <br /> DEPARTMENT <br /> Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />