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State of California <br /> Well Completion Report <br /> Form DWR 188 Submitted 919/2020 <br /> WCR2020-012696 <br /> Owner's Well Number Date Work Began 09/02/2020 Date Work Ended 09/04/2020 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number 40983 Permit Date 07/21/2020 <br /> Well Owner(must remain confidential pursuant to Water Code 13752); Former Use <br /> Name Emad Basma Activity Destroy <br /> Mailing Address 2380 S.MacArthur Dr. Former Use Water Supply <br /> City Tracy State CA Zip 95376 <br /> Well.Location_ <br /> Address 2380 S MacArthur DR APN 252-050-07 <br /> City Tracy Zip 95376 County San Joaquin Township 02S <br /> Latitude 37 42 48.884 N Longitude -121 24 57.3213 W Range 05 E <br /> Section 34 <br /> Deg. Min. Sec. Deg. Min. Sec. Baseline Meridian Mount Diablo <br /> Dec.Lat. 37.7135789 Dec.Long. -121.4159226 Ground Surface Elevation <br /> Vertical Datum Horizontal Datum WGS84 Elevation Accuracy <br /> Location Accuracy Location Determination Method Elevation Determination Method <br /> Borehole'.lnformation ; 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 (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 92 Feet *May not be representative of a well's long term yield. <br /> Destruction Details: <br /> Pulled pump and 80ft of column.bin steel casing 92ft deep.Pumped bentonite from the bottom to the top.Added a cement cap. <br /> Other Observations: <br /> Form DWR 188 rev. 12/19/2017 Page_L of 2 <br />