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State of Califomia <br /> Well Completion Report <br /> Form DWR 188 Submitted 7/7/2022 <br /> WCR2022-007553 <br /> Owners Well Number Date Work Began 05/23/2022 Date Work Ended 06/0212022 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number 43315 Permit Date 05/20/2022 <br /> Well owhdrl Us' rel a t� otif dentiial pier ua t VV el Cade'13T53�: xsFQ rie ti e <br /> Name DASCO GREENWOOD, Activity Destroy <br /> Mailing Address 6137 Hammett Ct. Former Use Water Supply <br /> City Modesto State CA Zip 95358 <br /> rx tF � �SI? tt t !amu IS=t:i i t ctFs ' <br /> 0 W <br /> Address 1000 Goodwin DR APN 261-020-38 <br /> City Ripon Zip 95366 County San Joaquin Township 02S <br /> Latitude 37 45 1.3291 N Longitude -121 8 5.1946 W Range 08 E <br /> Section 19 <br /> Deg. Min. Sec. Deg. Min. Sec. Baseline Meridian Mount Diablo <br /> Dec.Lat. 37.7503692 Dec.Long. -121.1347763 Ground Surface Elevation <br /> Vertical Datum Horizontal Datum WGS84 Elevation Accuracy <br /> Location Accuracy Location Determination Elevation Determination Method <br /> Method <br /> a� t� � t ...7-t t t: a t ; t "{ _* t .� +, <br /> �are 'blra'1 formation gig; t ter�iLevel,andYte�c€ofConipleGVeI: ..� <br /> Orientation Vertical Spey Depth to first water (Feel 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 89 Feet *May not be representative of a well's long term yield. <br /> Destruction Details: <br /> Pull pump on 4"well,pumped bentonite from the bottom to the top.Did not dig down or bury. <br /> Other Observations: <br /> Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />