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State of California <br /> Well Completion Report <br /> Form DWR 188 Submitted 11/25/2020 <br /> WCR2020-016370 <br /> Owner's Well Number Date Work Began 11/13/2020 Date Work Ended 11/18/2020 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number 41380 Permit Date 10/28/2020 <br /> Well Owner(mustremain confdeintial pursli,tant:to Water Code13752) Former.Use <br /> Name CT LANDCO 11, Activity Destroy <br /> Mailing Address 4343 Von Karman Ave.,Ste.200 Former Use Water Supply <br /> City Newport Beach State CA Zip 92660 <br /> t10 <br /> � ..;WeU=Coca n <br /> Address 6001 S Austin RD APN 181-100-09 <br /> City Stockton Zip 95215 County San Joaquin Township 01 N <br /> Latitude 37 54 42.4436 N Longitude -121 11 2.508 W Range 07 E <br /> Section 27 <br /> Deg. Min. Sec. Deg. Min. Sec. Baseline Meridian Mount Diablo <br /> Dec.Lat. 37.9117899 Dec.Long. -121.18403 <br /> Ground Surface Elevation <br /> Vertical Datum Horizontal Datum WGS84 Elevation Accuracy <br /> Location Accuracy Location Determination Method Elevation Determination Method <br /> :, <br /> Bore hole..lnformation. Vtilater Level and Yield of Com }leted._Vllell <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 223 Feet *May not be representative of a well's long term yield. <br /> Destruction Details: <br /> Mills knife the top 87ft of 16in well.After knifing the well,it caved in up to 147ft.Set 147ft of pipe to pump cement.Cemented well from bottom to top with 10.3 <br /> sack mix cement.Cut off casing down four feet,back filled hole with native soil. <br /> Other Observations: <br /> Not-M well yo j2rcDer+ct, <br /> Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />