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state of California <br />Well Completion Report <br />Form DWR188 Submitted 9/20/2022 <br />WCR2022-010943 <br />Owner's Wed Number Date Work Began 08/26/2022 Date Work Ended 08/26/2022 <br />Local Permit Agency San Joaquin County Environmental Health Department <br />Secondary Permit Agency Permit Number 43674 Permit Date 08/24/2022 <br />Well Owner (must remain confidential pursuant to Water Code 137^2)Former Use <br />Name GHAI MANAGEMENT SERVICES, INC.,Activity Destroy <br />Mailing Address 3769 Wilcox Rd., Ste B <br />Former Use Water Supply <br />City Stockton State CA Zip 95215 <br />Well Location <br />Address 640 E 11th ST APN 250-25-015 <br />City Tracy <br />Latitude 37 44 <br />Zip <br />20.9299 N <br />95376 <br />Longitude <br />County San Joaquin <br />-121 23 4.7756 W <br />Deg. Min. <br />Dec. Lat. 37.7391472 <br />Sec.Deg. Min. <br />Dec. Long. -121.3846599 <br />Sec. <br />Township <br />Range 05 E <br />Section <br />0 <br />26 <br />2 S <br />Baseline Meridian Mount Diablo <br />Vertical Datum Horizontal Datum WGS84 <br />Ground Surface Elevation <br />Elevation Accuracy <br />Location Accuracy Location Determination <br />Method <br />Elevation Determination Method <br />Borehole Information Water Leyel and Yield of Completed We|l <br />Orientation Vertical Specify <br />Drilling Method Drilling Fluid <br />Depth to first water <br />Depth to Static <br />Water Level <br />(Feet below surface) <br />Total Depth of Boring <br />Total Depth of Completed Well 54 <br />Feet <br />Feet <br />Estimated Yield* <br />Test Length <br />(Feet) <br />(GPM) <br />(Hours) Total Drawdown <br />Date Measured <br />Test Type <br />(feet) <br />*May not be representative of a well's long term yield. <br />Destruction Details: <br />Pumped cement slurry from bottom to the top, of 12in well. The well took more cement than anticipated. Dug down, broke off casing, backfilled with native soil. <br />Other Observations: <br />Form DWR 188 rev. 12/19/2017 Page 1 of 2