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State ofCalifornia <br /> Well Completion Report <br /> Form DWR1880ubmifted121iS/2021 <br /> WCR2021~015915 <br /> Owner's Well Number Date Work Began 11/30m021 Date Work Ended 12/07/2021 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number 42773 Permit Douo 1201/2021 <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 /> Address 3128 W Yosemite AVE APN 241-280-12 <br /> City Manteca Zip 95337 County San Joaquin Township 02S <br /> Latitude 37 47 49.5596 N Longitude -121 16 14.2319 W Range 06 E <br /> Section 02 <br /> Deg. Min. Sec. Deg. Min. Sec. Baseline Meridian Mount Diablo <br /> Dec.Lat. 37.7970999 Dec.Long. -121.27062 Ground Surface Elevation <br /> Vertical Datum Horizontal Datum WGS84 Elevation Accuracy <br /> Location Accuracy Location Determination Elevation Determination Method <br /> Method <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) TestType <br /> Test Length (Hours) Total Drawdown (feet) <br /> Total Depth of Completed Well 52 Feet L *May not be representative of a well's long term yield. <br /> Destruction Details: <br /> Pulled pump out of an 8in steel casing well,depth of 52ft.Pumped bentonite from the bottom to the top.Dug down,cut off casing 5ft below ground.Put <br /> cement cap on top,buried with native soil. <br /> Other Observations: <br /> Form OVVR188rev. 1JY1Q/2O17 Page 1_of�L <br />