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State of California <br /> Well Completion Report <br /> Form DWR 188 Submitted 9!312019 <br /> WCR2019-012519 <br /> Owner's Well Number Date Work Began 08/28/2019 Date Work Ended 08/29/2019 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number 39984 Permit Date 08/20/2019 <br /> Well Owner(must remain confidential pursuant to Water Code 13752) Former Use <br /> Name Todd Ah Yo Activity Destroy <br /> Mailing Address 1051 Robert Ave. Former Use Water Supply <br /> City Ripon State CA Zip 95366 <br /> Well Location <br /> Address 1051 Robert AVE APN 259-090-07 <br /> City Ripon Zip 05366 County San Joaquin Township 02S <br /> Latitude 37 43 49.4799 N Longitude -121 8 14.6533 W Range 08 E <br /> Section 30 <br /> Deg. Min. Sec. Deg. Min. Sec. Baseline Meridian Mount Diablo <br /> Dec.Lat. 37.7304111 Dec.Long. -121.1374037 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 /> Depth to Static <br /> Drilling Method Drilling Fluid 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 140 Feet 'May not be representative of a well's long term yield. <br /> Destruction Details: <br /> Pumped neat cement from the bottom to the top of a 61"old well casing,140'depth.Dug down 4',cut off casing and put mushroom cap of cement on the top. <br /> Other Observations: <br /> Form DWR 188 rev. 12/19/2017 Page-L of 2 <br />