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State of California <br /> Well Completion Report <br /> Form DWR 188 Submitted 11/19/2021 <br /> WCR2021-014760 <br /> Owner's Well Number Date Work Began 11/08/2021 Date Work Ended 11/08/2021 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number 42725 Permit Date 11/04/2021 <br /> Well�u►ne`r elmustlrema�lnnconfdentlal7 ursua�ito'Water Code13752`( _ torme�Use 1 *! <br /> .....-�,.. .✓.H•.�.: ,..•=>A.a ._.e._.rY, l i 2 t kU- I t �4 3j <br /> Name YOSEMITE-MCKINLEY THREE LLC, Activity Destroy <br /> Mailing Address 4460 S.Hwy 99 Frontage Rd. Former Use Water Supply <br /> Ctty Stockton State CA Zip 95215 <br /> 5 ...7 .�¢ CS a.A ;5. t.rfnt.. ia:E¢ e�iE EfN 9 sits {''•.Na F ,tx,y._,I, is y,- t Fidf,¢ <br /> x r£6^Yr ,.`t*`{�.} ..:yr s.'3{'E iWeli Location 'n'ta"':tu' a,-.n r T ;�Yti!sS.{w e�5....;3t ..a -S,'.k ;f'.;�i s, <br /> .sl r a1,4?_..,swzsa� ? 4" Ss. :.::.... ;. .. z�n, ry a i c,`urf ��a{ ..xn z$f._,. ,v_: <br /> Address 3356 W Yosemite AVE APN 241-400-36 <br /> City Lathrop Zip 95330 County San Joaquin Township 02S <br /> Latitude 37 47 42.1058 N Longitude -121 16 35.7488 W Range 06 E <br /> Section 02 <br /> Deg. Min. Sec. Deg. Min. Sec. Baseline Meridian Mount Diablo <br /> Dec.Lat. 37.7950294 Dec.Long. -121.2765969 Ground Surface Elevation <br /> Vertical Datum Horizontal Datum WGS84 Elevation Accuracy <br /> Location Accuracy Location Determination Elevation Determination Method <br /> Method <br /> :. x'.' j .•.z c��..:. � 3 t�, R °c.:: �i..,-k, � ,fix s_ ;� zr 4 <br /> 3 oire6a��el for ation�� � F }Water.Le�el,antl¢Yield of Completed Well �, ,F <br /> s3 -sem"#r�r. +<.,Y:... :.;-a �rM z�...:.�u.�t *;u.,s, a�.�: ��,a., ,%:;L.a e .,..� ,s77 <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 77 Feet *May not be representative of a well's long term yield. <br /> Destruction Details: <br /> Abandoned bin steel casing well,pumped bentonite from the bottom up to the top,mushroom cap and cement cap.Dug down,cut off casing below ground, <br /> buried with native soil. <br /> Other Observations: <br /> Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />