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RECEIVED <br /> ' State of California <br /> Well Completion Report <br /> Form DWR 188 Submitted 10/15/2020 0 C T 19 2020 <br /> WCR2020-014708 <br /> FIN IRONNIFATAL HEALTH <br /> Owner's Well Number Date Work Began 10/08/2020 Date WJiN-dA&KI NI WNk20 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number WP0041277 Permit Date 09/28/2020 <br /> Well Owner(must remain confidential pursuant to Water Code 13752) Former Use <br /> Name JOHN EDWARDS Activity Destroy <br /> Mailing Address 29832 HWY 120 Former Use Water Supply <br /> City ESCALON State CA Zip 95320 <br /> Well Location <br /> Address 29832 HWY 120 APN 229-250-380 <br /> City ESCALON Zip 95320 County San Joaquin Township <br /> Latitude 37 47 35.0124 N Longitude -120 56 35.3148 W Range <br /> Section <br /> Deg. Min. Sec. Deg. Min. Sec. <br /> Baseline Meridian <br /> Dec.Lat. 37.793059 Dec.Long. -120.943143 Ground Surface Elevation 145 <br /> Vertical Datum Horizontal Datum WGS84 Elevation Accuracy Unknown <br /> Location Accuracy Unknown Location Determination Method Other 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 10/08/2020 <br /> Total Depth of Boring Feet Estimated Yield" (GPM) Test Type <br /> Test Length (Hours) Total Drawdown (feet) <br /> Total Depth of Completed Well 72 Feet May not be representative of a well's long term yield. <br /> Destruction Details: <br /> 6V WELL FILLED WITH BENTINTE COMPLETE WITH A 3FT MUSHROOM CAP. <br /> Other Observations: <br /> INSPECTED BY COUNTY EMPLOYEE-ALINE <br /> Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />