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State of California <br /> Well Completion Report <br /> Form DWR 188 Submitted 10/14/2021 <br /> WCR2021-013236 <br /> Owner's Well Number Date Work Began 10/07/2021 Date Work Ended 10/07/2021 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number 42329 Permit Date 07/22/2021 <br /> Well Owner(must,remaln'confidentialpurs`uartt to Water Code 13752), Former Use,; <br /> Name Kathleen Harris Activity Destroy <br /> Mailing Address 18404 N.Ripon Rd. Former Use Water Supply <br /> City Ripon State CA Zjp 95366 <br /> Welt Locatiolrt`: - ' <br /> Address 18404 N Ripon RD APN 245-04046 <br /> City Ripon Zip 95366 County San Joaquin Township 02S <br /> Latitude 37 44 57.4436 N Longitude -121 7 27.2639 W Range 08 E <br /> Section 20 <br /> Deg. Min. Sec. Deg. Min. Sec. Baseline Meridian Mount Diablo <br /> Dec.Lat. 37.7492899 Dec.Long. -121.12424 <br /> Ground Surface Elevation <br /> Vertical Datum Horizontal Datum WGS84 Elevation Accuracy <br /> Location Accuracy Location Determination Method Elevation Determination Method <br /> or <br /> Borehole Information' Water Level and Yleld of Corr>pleted Well; <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 65 Feet *May not be representative of a well's long term yield. <br /> Destruction Details: <br /> Pumped bentonite from the bottom to the top in old bin steel casing well,put hole plug on top to meet concrete slab. <br /> Other Observations: <br /> Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />