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State of Califomia <br />Well Completion Report <br />Form DWR 188 Submitted 1/18/2022 <br />WCR2022-000670 <br />Owner's Well Number Date Work Began 01/14/2022 <br />Local Permit Agency San Joaquin County Environmental Health Department <br />Secondary Permit Agency Permit Number WP0042880 <br />Well Owner (must remain confidential pursuant to Water Code 13752) <br />Name BGS BUILDERS, <br />Mailing Address 6581 CRESTVIEW CIR. <br />City STOCKTON <br />State CA Zip 95219 <br />Well Location <br />Date Work Ended 01/14/2022 <br />Permit Date 01/06/2022 <br />Former Use <br />Activity Destroy <br />Former Use Water Supply <br />Address 5028 S ST. RT. 99 E. FRONTAGE RD APN 181-120-100 <br />City STOCKTON Zip 95215 County San Joaquin Township 01 N <br />Latitude 37 54 11.5632 N Longitude -121 13 13.0512 W Range 07 E <br />Section 28 <br />Deg. Min. Sec. Deg. Min. Sec. <br />Baseline Meridian Mount Diablo <br />Dec. Lat. 37.903212 Dec. Long. -121.220292 Ground Surface Elevation 37 <br />Vertical Datum Horizontal Datum WGS84 Elevation Accuracy Unknown <br />Location Accuracy Unknown Location Determination GPS Elevation Determination Method Digital Aerial Photo <br />Method <br />Borehole Information <br />Water Level and Yield of Completed Well <br />Orientation Vertical Specify <br />Depth to first water (Feet below surface) <br />Depth to Static <br />Drilling Method Drilling Fluid <br />Water Level 60 (Feet) Date Measured 01/14/2022 <br />Estimated Yield' (GPM) Test Type <br />Total Depth of Boring Feet <br />Test Length (Hours) Total Drawdown (feet) <br />Total Depth of Completed Well 70 Feet <br />'May not be representative of a well's long term yield. <br />Destruction Details: <br />DESTROYED OLD DRY WELL WATER LEVER WAS 60' TO WATER AND NO LONGER NEEDED WELL <br />Other Observations: <br />INSPECTED BY SAN JOAQUIN COUNTY 01.14.22 <br />Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />