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State of Califomia <br /> Well Completion Report <br /> Form DWR 188 Submitted 12/10/2021 <br /> WCR2021-015697 <br /> Owner's Well Number Date Work Began 12/03/2021 Date Work Ended 12/06/2021 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number 42775 Permit Date 12/01/2021 <br /> Well Owner( nusf remain confidential pursuant t&VatdkT� 461.7 <br /> r..., w_. ... <br /> Name YOSEMITE-MCKINLEY THREE LLC, Activity Destroy <br /> Mailing Address 4460 S.Hwy 99 Frontage Rd. Former Use Water Supply <br /> City Stockton State CA Zip 95215 <br /> i xs r- fa E i'c"I 1 a its/ <br /> eil Lucatlon <br /> Address 18389 McKinley AVE APN 241-400-29 <br /> City Manteca Zip 95337 County San Joaquin Township 02S <br /> Latitude 37 47 36.4127 N Longitude -121 16 14.0501 W Range 06 E <br /> Section 01 <br /> Deg. Min. Sec. Deg. Min. Sec. Baseline Meridian Mount Diablo <br /> Dec.Lat. 37.793448 Dec.Long. -121.2705695 Ground Surface Elevation <br /> Vertical Datum Horizontal Datum WGS84 Elevation Accuracy <br /> Location Accuracy Location Determination Elevation Determination Method <br /> Method <br /> .....Bore hole`Information = <br /> ` ` Water Level'and Yield of Completed 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 Esfimated Yield' (GPM) Test Type <br /> Test Length (Hours) Total Drawdown (feet) <br /> Total Depth of Completed Well 112 Feet *May not be representative of a well's long term yield. <br /> Destruction Details: <br /> Pumped bentonite from the bottom of an Bin PVC well,112ft deep to the top.Dug down,cut off casing 5ft,put cement cap on top and buried with native soil. <br /> Other Observations: <br /> Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />