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State of California <br /> Well Completion Report <br /> Form DWR 188 Submitted 8/25/2020 <br /> WCR2020-011370 <br /> Owner's Well Number Date Work Began 08/24/2020 Date Work Ended 08/25/2020 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number 41127 Permit Date 08/21/2020 <br /> Well Owner(must-remain:,confidentialpursuant Use to Water.Code 13.752 Former. ). <br /> Name FERGUSON FARMS, Activity Destroy <br /> Mailing Address 7436 Meadow Ave. Former Use Water Supply <br /> City Stockton State CA Zip 95207 <br /> � W.eII.Locaton <br /> Address 7436 Meadow AVE APN 077-370-32 <br /> City Stockton Zip 95207 County San Joaquin Township 02 N <br /> Latitude 38 1 0.4422 N Longitude -121 19 37.9894 W Range 06 E <br /> Section 16 <br /> Deg. Min. Sec. Deg. Min. Sec. Baseline Meridian Mount Diablo <br /> Dec.Lat. 38.0167895 Dec.Long. -121.3272193 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 WeII <br /> t.. <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 66 Feet *May not be representative of a well's long term yield. <br /> Destruction Details: <br /> Pumped bentonite(quik grout)from bottom of the 6V well to the top,while inspected.Next day retumed to add cement cap,while inspected. <br /> Other Observations: <br /> Form DWR 188 rev. 12/19/2017 Page_L of 2 <br />