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State of California <br /> Well Completion Report <br /> Form DWR 188 Submitted 1212/2020 <br /> WCR2020-016555 <br /> Owner's Well Number Date Work Began 11/20/2020 Date Work Ended 11/20/2020 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number 41454 Permit Date 11/18/2020 <br /> Well'Ownermust rema Water <br /> ,Or <br /> er Uso <br /> Name David Torres Activity Destroy <br /> Mailing Address 555 Marigny Way Former Use Water Supply <br /> City Manteca State CA Zip 95336 <br /> Well Ld'''6'a <br /> Address 524 N Grant AVE APN 223-060-14 <br /> City Manteca Zip 95336 County San Joaquin Township 01S <br /> -- <br /> Latitude 37 48 18.6472 N Longitude -121 12 53.7922 W Range 07 E <br /> Section 33 <br /> Deg. Min. Sec. Deg. Min. Sec. Baseline Meridian Mount Diablo <br /> Dec.Lat. 37.8051798 Dec.Long. -121.2149423 Ground Surface Elevation <br /> Vertical Datum Horizontal Datum WGS84 Elevation Accuracy <br /> Location Accuracy Location Determination Method Elevation Determination Method <br /> Water-Level",- d'r ld'6 <br /> -- fcompleted' h1l, <br /> i Xji - <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 58 Feet *May not be representative of a well's long term yield. <br /> Destruction Details: <br /> 31n well inside a room.Filled the well with hole plug(bentonite chips),added water.Topped off the well with cement plug. <br /> Other Observations: <br /> Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />