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State of California <br />Well Completion Report <br />Form DWR 188 Submitted 7/28/2022 <br />WCR2022-008645 <br />Owner's Well Number Date Work Began Well#2 07/13/2022 Date Work Ended 07/13/2022 <br />Local Permit Agency San Joaquin County Environmental Health Department <br />Secondary Permit Agency Permit Number WP0043483 Permit Date 07/08/2022 <br />Well Location <br /> 14210 W CA-4 HWY Address <br /> Stockton City 25206Zip San JoaquinCounty <br /> 37 Latitude 53 34.0404 <br />Deg.Min.Sec. <br />N -121Longitude 29 13.4555 <br />Deg.Min.Sec. <br />W <br /> Dec. Lat. 37.892789 Dec. Long. -121.487071 <br /> Vertical Datum Horizontal Datum WGS84 <br /> Location Accuracy Location Determination <br />Method <br /> <br /> 131-120-040APN <br /> 01 NTownship <br /> 04 ERange <br /> 36Section <br /> Mount DiabloBaseline Meridian <br /> 2Ground Surface Elevation <br /> 0.1 FtElevation Accuracy <br /> OtherElevation Determination Method <br />Destruction Details: <br />- Destroy 6 inch steel Well to 71 ft. in depth <br />- Pull out pump and pipe <br />- Bail Well to remove sediments and prove bottom at 71 ft. <br />- Tremie-pipe grout Well with neat Portland cement grout <br />- Well casing removed to 5 ft. BGS <br />Other Observations: <br />Well Owner (must remain confidential pursuant to Water Code 13752) <br /> CALIFORNIA DEPARTMENT OF TRANSPORTATION (CALTRANS), Name <br /> Mailing Address 1976 E. Dr. Martin Luther King Jr. Blvd. <br /> <br /> Stockton City CAState 95205Zip <br />Former Use <br /> Former Use <br /> Activity <br /> Water Supply <br /> Destroy <br />Borehole Information <br /> Drilling Method <br /> Orientation <br /> Total Depth of Boring <br /> <br /> Vertical <br /> 71 Total Depth of Completed Well <br />Drilling Fluid <br /> Feet <br /> Feet <br /> Specify <br />Water Level and Yield of Completed Well <br /> Depth to first water <br />Depth to Static <br /> Water Level <br /> Estimated Yield* <br /> Test Length <br />*May not be representative of a well's long term yield. <br />(Feet below surface) <br />(Feet) <br />(GPM) <br />(Hours) <br />Date Measured <br /> Test Type <br />Total Drawdown (feet) <br />Page 1 of 2 Form DWR 188 rev. 12/19/2017