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State of California <br /> Well Completion Report <br /> Form DWR 188 Submitted 10/1/2020 <br /> WCR2020-014026 <br /> Owner's Well Number Date Work Began 09/22/2020 Date Work Ended 09/22/2020 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number wp0041214 Permit Date 09/10/2020 <br /> Well Owner(must remain confidential pursuant to Water Code 13752) Former Use <br /> Name FIVE CORNERS GROUP, Activity Destroy <br /> Mailing Address 15100 S JACKTONE RD Former Use Water Supply <br /> City MANTECA State CA Zip 95336 <br /> Well Location <br /> Address 9277 ST.RT.99 W.FRONTAGE RD APN 201-020-030 <br /> City STOCKTON Zip 95215 County San Joaquin Township <br /> Latitude 37 52 45.0983 N Longitude -121 13 18.948 W Range <br /> Section <br /> Deg. Min. Sec. Deg. Min. Sec. <br /> Baseline Meridian <br /> Dec. Lat. 37.879194 Dec.Long. -121.22193 Ground Surface Elevation 26 <br /> Vertical Datum Horizontal Datum WGS84 Elevation Accuracy <br /> Location Accuracy Unknown Location Determination Method Other Elevation Determination Method <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 09/22/2020 <br /> Total Depth of Boring Feet Estimated Yield* (GPM) Test Type <br /> Test Length (Hours) Total Drawdown (feet) <br /> Total Depth of Completed Well 30 Feet *May not be representative of a well's long term yield. <br /> Destruction Details: <br /> 0-30 FT FILLED WITH BENTONITE COMPLETE WITH COMPLETE MUSHROOM CAP. <br /> Other Observations: <br /> INSPECTED BY:DARIA <br /> UT 15 2020 <br /> I-AVIRONNIENTAL F-IEAUFI'i <br /> I)FTARTNIENT <br /> Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />