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R <br /> State of California <br /> Well Completion Report <br /> Form DWR 188 Submitted 10/1/2019 <br /> WCR2019-013813 <br /> Owner's Well Number 1 Date Work Began 09/06/2019 Date Work Ended 09/06/2019 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number wp0040009 Permit Date 08/28/2019 <br /> Well Owner(must remain confidential pursuant to Water Code 13752) Former Use <br /> Name FREDRICK BALLEN Activity Destroy <br /> Mailing Address 8033 HOUSTON Former Use Water Supply <br /> City LINDEN State CA Zip 95236 <br /> Well Location <br /> Address 8033 HOUSTON RD APN 065-170-090 <br /> City LINDEN Zip 95236 County San Joaquin <br /> Township 06 N <br /> Latitude 38 22 11.9999 N Longitude -121 24 59.2919 W Range 05 E <br /> Section 15 <br /> Deg. Min. Sec. Deg. Min. Sec. <br /> Baseline Meridian Mount Diablo <br /> Dec.Lat. 38.37 Dec.Long. -121.41647 <br /> Ground Surface Elevation 117 <br /> Vertical Datum Horizontal Datum WGS84 Elevation Accuracy Unknown <br /> Location Accuracy Unknown Location Determination Method Unknown Elevation Determination Method Unknown <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 81 (Feet) Date Measured 09/06/2019 <br /> Total Depth of Boring Feet Estimated Yield' (GPM) Test Type <br /> Test Length (Hours) Total Drawdown (feet) <br /> Total Depth of Completed Well 81 Feet *May not be representative of a well's long term yield. <br /> Destruction Details: <br /> FILLED WITH BENTOINTE CAPPED OFF <br /> Other Observations: <br /> Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />