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State of California RECEIVED <br /> Well Completion Report <br /> Form DWR 188 Submitted 8/7/2020 AUG 10 2o2o <br /> WCR2020-010263 <br /> l:NJ'IOf�N <br /> Owner's Well Number Date Work Began 07/16/2020 Dae o hAN kI,344kbUotLT11 <br /> Local Permit Agency San Joaquin County Environmental Health Department i>E PA RT. <br /> FNT <br /> Secondary Permit Agency Permit Number WP0040975 Permit Date 07/14/2020 <br /> Well Owner(must remain confidential pursuant to Water Code 13752) Former Use <br /> Name JILL RAMOS Activity Destroy <br /> Mailing Address PO BOX 1163 Former Use Water Supply <br /> City RIPON State CA Zip 95366 <br /> Well Location <br /> Address 15243 FRENCH CAMP RD APN 203-100-080 <br /> City RIPON Zip 95366 County San Joaquin Township <br /> Latitude 37 48 47.4948 N Longitude -121 7 23.304 W Range <br /> Section <br /> Deg. Min. Sec. Deg. Min. Sec. <br /> Baseline Meridian <br /> Dec. Lat. 37.813193 Dec.Long. -121.12314 Ground Surface Elevation 65 <br /> Vertical Datum Horizontal Datum WGS84 Elevation Accuracy Unknown <br /> Location Accuracy Unknown Location Determination Method GPS 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 07/17/2020 <br /> Total Depth of Boring Feet Estimated Yield* (GPM) Test Type <br /> Test Length (Hours) Total Drawdown (feet) <br /> Total Depth of Completed Well 0 Feet *May not be representative of a well's long term yield. <br /> Destruction Details: <br /> 60 FT.WELL DESTROYED FILLED WITH BENTONITE AND COMPLETED WITH A 3 FT.CEMENT MUSHROOM CAP. <br /> Other Observations: <br /> Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />