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State of California <br /> Well Completion Report <br /> Form DWR 188 Submitted 8/31/2020 <br /> WC R2020-011876 <br /> Owner's Well Number Date Work Began 08/27/2020 Date Work Ended 08/27/2020 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number WP0041141 Permit Date 08/24/2020 <br /> Well Owner(must remain confidential pursuant to Water Code 13752) Former Use <br /> Name MOORMAN'S WATER SYS, Activity Destroy <br /> Mailing Address 2120 WILCOX RD <br /> Former Use Water Supply <br /> City STOCKTON State CA Zip 95212 <br /> Well Location <br /> Address 15015 E PELTIER RD APN 021-080-110 <br /> City ACAMPO Zip 95220 County San Joaquin Township <br /> Latitude 38 11 55.4495 N Longitude -121 7 59.4012 W Range <br /> Section <br /> Deg. Min. Sec. Deg. Min. Sec. <br /> Baseline Meridian <br /> Dec. Lat. 38.198736 Dec.Long. -121.133167 Ground Surface Elevation 127 <br /> Vertical Da*um 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 08/27/2020 <br /> Total Depth of Boring Feet Estimated Yield* (GPM) Test Type <br /> Test Length (Hours) Total Drawdown (feet) <br /> Total Depth of Completed Well 108 Feet *May not be representative of a well's long term yield. <br /> Destruction Details: <br /> ORIGINAL WELL WAS 170 COLLASPED TO 108 FILLED WITH BENTONITE AND CAPPED WITH A 3 FT MUSHROOM CAP. <br /> Other Observations: <br /> INSPECTED BY DARIA AT SAN JOAQUIN COUNTY <br /> Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />