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State of California <br /> Well Completion Report <br /> Form DWR 188 Submitted 11/9/2020 <br /> WCR2020-015787 <br /> Owner's Well Number Date Work Began 11/02/2020 Date Work Ended 11/0512020 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number 41401 Permit Date 10/30/2020 <br /> Well Qwner:- mliast remain conf[dent al, ursuantao Water 0- 13752 Foralner: <br /> t_ p <br /> } Z U <br /> Name Albert Boyce Activity Destroy <br /> Mailing Address 2513 S.Main St. Former Use Water Supply <br /> City Manteca State CA Zip 95337 <br /> We[[ Location s <br /> Address 2513 S Main ST APN 226-100-08 <br /> City Manteca Zip 95337 County San Joaquin Township 02S <br /> Latitude 37 46 13.476 N Longitude -121 12 56.5196 W Range 07 E <br /> Section 09 <br /> Deg. Min. Sec. Deg. Min. Sec. Baseline Meridian Mount Diablo <br /> Dec.Lat. 37.77041 Dec.Long. -121.2156999 Ground Surface Elevation <br /> Vertical Datum Horizontal Datum WGS84 Elevation Accuracy <br /> Location Accuracy Location Determination Method Elevation Determination Method <br /> Breho[e;inf . fCoLornatidn Ym1ell' <br /> r <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 158 Feet *May not be representative of a well's long term yield. <br /> Destruction Details: <br /> Pulled 60'of pump and column.Pumped bentonite from the bottom to the top of a bin,158ft domestic well. <br /> Mushroom the top with a cement cap.Dug down 4'cut off casing and buried the top with native soil. <br /> Other Observations: <br /> Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />