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State of California <br /> Well Completion Report <br /> Form DWR 188 Submitted 5/30/2019 <br /> WCR2019-007320 <br /> Owner's Well Number Date Work Began 05/24/2019 Date Work Ended 05/28/2019 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number 39197 Permit Date 01/14/2019 <br /> Well Owner(must remain confidential pursuant to Water Code 13752) Former Use <br /> Name ADRIAN FAMILY, Activity Destroy <br /> Mailing Address 26554 E. River RD Former Use Water Supply <br /> City Escalon State Ca Zip 95320 <br /> Well Location <br /> Address 26554 E River RD APN 247-200-19 <br /> City Escalon Zip 95320 County San Joaquin Township 02S <br /> Latitude 37 45 29.7007 N Longitude -120 58 48.0565 W Range 09 E <br /> Section 16 <br /> Deg. Min. Sec. Deg. Min. Sec. <br /> Baseline Meridian Mount Diablo <br /> Dec. Lat. 37.7582502 Dec. Long. -120.9800157 <br /> 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) 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 96 Feet *May not be representative of a well's long term yield. <br /> Destruction Details: <br /> Dug down/cut casing 4ft,removed slab, Millsknife top 60',pumped from bottom to top of mushroom cap 10.3 sack cement slurry. <br /> Other Observations: <br /> Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />