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state of California <br />Well Completion Report <br />Form DWR188 Submitted 8/25/2021 <br />WCR2021-010779 <br />Owner's Well Number Date Work Began 08/16/2021 Date Work Ended 08/16/2021 <br />Local Permit Agency San Joaquin County Environmental Health Department <br />Secondary Permit Agency Permit Number 42382 Permit Date 07/29/2021 <br />Well Owner (must remain confidential pursuant to Water Code 13752)Former Use \ <br />Name LENNAR HOMES OF CALIFORNIA,Activity Destroy <br />Mailing Address 17278 Goiden Valley Parkway <br />Former Use Water Supply <br />City Lathrop State CA Zip 95330 <br />Well Location; <br />Address APN 251-050-31 <br />City Zip County San Joaquin Township 03 S <br />Range 04 E <br />Section 12 <br />Baseiine Meridian Mount Diablo <br />Ground Surface Elevation <br />Latitude 37 41 31.2539 N Longitude -121 29 9.042 W <br />Dec. Lat. <br />Deg. Min. <br />37.692015 <br />Sec. <br />Dec. Long. <br />Deg. Min. <br />-121.485845 <br />Sec. <br />Vertical Datum Horizontal Datum WGS84 Elevation Accuracy <br />Location Accuracy Location Determination Method Elevation Determination Method <br />Borehole Information Water Level and Yield of Completed Well <br />Orientation Vertical Specify <br />Driiling Method Drilling Fluid <br />Depth to first water <br />Depth to Static <br />Water Level <br />(Feet below surface) <br />Total Depth of Boring <br />Total Depth of Completed Well 292 <br />Feet <br />Feet <br />Estimated Yield* <br />Test Length <br />(Feet) Date Measured <br />(GPM) Test Type <br />(Hours) Total Drawdown (feet) <br />•May not be representative of a well's long term yield. <br />Destruction Details: <br />Old lOin steel well, 292ft deep. Pumped 10.3 sack mix cement from bottom to the top. Dug down 5ft, buried with native soil. <br />Other Observations: <br />Form DWR 188 rev. 12/19/2017 Page 1 of 2