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State of California <br /> Well Completion Report <br /> Form DWR 188 Submitted 6/11/2019 <br /> WCR2019-008023 <br /> Owner's Well Number Date Work Began 05/24/2019 Date Work Ended 05/24/2019 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number 39595 Permit Date 05/07/2019 <br /> Well Owner(must remain confidential pursuant to Water Code 13752) Former Use <br /> Name Kevin Henshall Activity Destroy <br /> Mailing Address 27022 S.Corral Hollow Rd Former Use Water Supply <br /> City Tracy State CA Zip 95377 <br /> Well Location <br /> Address 27022 S Corral Hollow RD APN 244-030-05 <br /> City Tracy Zip 95377 County San Joaquin Township 03S <br /> Latitude 37 42 33.4958 N Longitude -121 27 7.3454 W Range 05 E <br /> Section 05 <br /> Deg. Min. Sec. Deg. Min. Sec. <br /> Baseline Meridian Mount Diablo <br /> Dec. Lat. 37.7093044 Dec. Long. -121.4520404 <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 80 Feet *May not be representative of a well's long term yield. <br /> Destruction Details: <br /> Pumped Neat Cement from bottom to top. <br /> Other Observations: <br /> Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />