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State of California <br /> Well Completion Report <br /> Form DWR 188 Submitted 9/19/2019 <br /> WCR2019-013370 <br /> Owner's Well Number 1 Date Work Began 09/11/2019 Date Work Ended 09/11/2019 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number WP0040058 Permit Date 09/09/2019 <br /> Well Owner(must remain confidential pursuant to Water Code 13752) Former Use <br /> Name BARBARA SEQUEIRA Activity Destroy <br /> Mailing Address P.O BOX 93 Former Use Water Supply <br /> City ESCALON State CA Zip 95320 <br /> Well Location <br /> Address 26891 MAHON RD APN 227-400-110 <br /> City ESCALON Zip 95320 County San Joaquin Township 05S <br /> Latitude 37 29 1.068 N Longitude -120 35 6.126 W Range 13 E <br /> Section 19 <br /> Deg. Min. Sec. Deg. Min. Sec. <br /> Baseline Meridian Mount Diablo <br /> Dec.Lat. 37.48363 Dec.Long. -120.585035 Ground Surface Elevation 125 <br /> Vertical Datum Horizontal Datum WGS84 Elevation Accuracy Unknown <br /> Location Accuracy Unknown Location Determination Method Elevation Determination Method Digital Aerial Photo <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 0 (Feet) Date Measured 09/11/2019 <br /> Total Depth of Boring Feet Estimated Yield' (GPM) Test Type <br /> Test Length (Hours) Total Drawdown (feet) <br /> Total Depth of Completed Well 90 Feet *May not be representative of a well's long term yield. <br /> Destruction Details: <br /> FILLED WITH BENTONITE <br /> Other Observations: <br /> Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />