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State of Califomia <br /> Well Completion Report <br /> Form DWR 188 Submitted 8/31/2022 <br /> WCR2022-010181 <br /> Owner's Well Number Date Work Began 08/22/2022 Date Work Ended 08/22/2022 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number 43326 Permit Date 05/24/2022 <br /> WellOwner <br /> I ow"M <br /> Name PINNACLE RIDGE LLC, Activity Destroy <br /> Mailing Address 21315 Sa Jose Rd. Former Use Water Supply <br /> City Tracy State CA Zip 95304 <br /> 'ZI <br /> W M, <br /> Kff <br /> Address 17400 W Bethany RD APN 209-15-029 <br /> City Mt.House Zip 95391 County San Joaquin Township 02S <br /> — <br /> Latitude 37 46 47.5395 N Longitude -121 31 29.6468 W Range I E <br /> Section 10 <br /> Deg. Min. Sec. Deg. Min. Sec. Baseline Meridian Mount Diablo <br /> Dec.Lat. 37.7798721 Dec.Long. -121.5249019 Ground Surface Elevation <br /> Vertical Datum Horizontal Datum WGS84 Elevation Accuracy <br /> Location Accuracy Location Determination Elevation Determination Method <br /> Method <br /> ...... 6 iv <br /> a <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) Test Type <br /> Test Length (Hours) Total Drawdown (feet) <br /> Total Depth of Completed Well 285 Feet *May not be representative of a well's long term yield. <br /> Destruction Details: <br /> Pump pulled by owner.Pumped bentonite from the bottom to the top,of a bin PVC well,dug down,put cement cap on top,buried with native soil. <br /> Other Observations: <br /> Form DWR 188 rev. 12/19/2017 Page_1 of 2 <br />