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state of California <br />Well Completion Report <br />Form DWR 188 Submitted 10/18/2022 <br />WCR2022-012214 <br />Owner's Well Number Date Work Began 09/26/2022 Date Work Ended 10/13/2022 <br />Local Permit Agency San Joaquin County Environmental Health Department <br />Secondary Permit Agency Permit Number 43904 Permit Date 10/06/2022 <br />Well Owner (must remain confidential pursuant to Watenpode 13752)-Former Use <br />Name KIPER, INC.,Activity Destroy <br />Mailing Address 3200 Danville Blvd., Ste 200 <br />Former Use Water Supply <br />City Alamo State CA Zip 94507 <br />Well Locatibnf , <br />Address <br />City Manteca <br />320 N Airport WAY APN 200-14-026 <br />Latitude <br />Dec. Lat. <br />37 48 4.0042 <br />Zip <br />N <br />95337 County San Joaquin <br />Longitude -121 15 1.4677 W <br />Deg. Min. <br />37.8011123 <br />Sec.Deg. Min. <br />Dec. Long. -121.2504077 <br />Sec. <br />Township <br />Range 07 E <br />Section <br />0 <br />31 <br />1 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 .Level and Yield,Completed Well <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 100 <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 />Pulled pump from 6in steel cased well. Dug down, cut off casing, pumped bentonite from the bottom to the top, mushroom cap and added cement. Buried <br />with native soil. <br />Other Observations: <br />Form DWR 188 rev. 12/19/2017 Page 1 of 2