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State of California <br />Well Completion Report <br />Form DWR 188 Submitted 7/20/2021 <br />WCR2021-009077 <br />Owner's Well Number Date Work Began 03/09/2021 <br />Local Permit Agency San Joaquin County Environmental Health Department <br />Secondary Permit Agency Permit Number WP0041761 <br />Well Owner (must remain confidential pursuant to Water Code 13752) <br />Name JIM SANCHEZ <br />Mailing Address 8700 WOODWARD LAKE RD <br />Date Work Ended 03/09/2021 <br />Permit Date 03/04/2021 <br />Former Use <br />Activity Destroy <br />Former Use Water Supplv <br />I City OAKDALE State CA Zip 95361 11 1 <br />Well Location <br />Address 13631 CASTLE RD APN 197-120-040 <br />City MANTECA Zip 95336 County San Joaquin Township 01S <br />Latitude 37 50 23.4672 N Longitude -121 12 17.8056 W Range 07 E <br />Section 21 <br />Deg. Min. Sec. Deg. Min. Sec. <br />Baseline Meridian Mount Diablo <br />Dec. Lat. 37.839852 Dec. Long. -121.204946 Ground Surface Elevation 38 <br />Vertical Datum Horizontal Datum WGS84 Elevation Accuracy Unknown <br />Location Accuracy Unknown Location Determination Method GPS Elevation Determination Method Digital Aerial Photo <br />Borehole Information <br />Water Level and Yield of Completed Well <br />Orientation Vertical Specify <br />Depth to first water (Feet below surface) <br />Depth to Static <br />Drilling Method Drilling Fluid <br />Water Level 0 (Feet) Date Measured 03/09/2021 <br />Estimated Yield* (GPM) Test Type <br />Total Depth of Boring Feet <br />Test Length (Hours) Total Drawdown (feet) <br />Total Depth of Completed Well 50 Feet <br />*May not be representative of a well's long term yield. <br />Destruction Details: <br />FILLED WITH BENTONITE AND SEALED WITH A 3 FT MUSHROOM CAP. <br />Other Observations: <br />Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />