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State of California <br /> Well Completion Report <br /> Form DWR 188 Submitted 10/16/2023 <br /> WCR2023-011359 <br /> Owner's Well Number Date Work Began 10/12/2023 Date Work Ended 10/12/2023 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Perrnit Number WP0043982 Permit Date 10/27/2022 <br /> Well Owner(must remain confidential pursuant to Water Code 13752) Former Use <br /> Name REANNA GIUNTOLI Activity Destroy <br /> Mailing Address 28839 E ORANGE AVE Former Use Water Supply <br /> City ESCALON State CA Zip 95320 <br /> Well Location <br /> Address 20228 S HARROLD AVE APN 249-110-340 <br /> City ESCALON Zip 95320 County San Joaquin Township 02S <br /> Latitude 37 46 37.0235 N Longitude -120 58 6.2255 W Range 09 E <br /> Section 10 <br /> Deg. Min. Sec. Deg. Min. Sec. Baseline Meridian Mount Diablo <br /> Dec.Lat. 37.776951 Dec.Long. -120.968396 Ground Surface Elevation 129 <br /> Vertical Datum Horizontal Datum WGS84 Elevation Accuracy Unknown <br /> Location Accuracy >50 Ft Location Determination GPS Elevation Determination Method Digital Aerial Photo <br /> Method <br /> Borehole Information Water Level and Yield of Completed Well <br /> Orientation Vertical Specify Depth to first water (Feet below surface) <br /> Drilling Method Drilling Fluid Depth to Static <br /> Water Level 0 (Feet) Date Measured 10/12/2023 <br /> Total Depth of Boring Feet Estimated Yield' (GPM) Test Type <br /> Test Length (Hours) Total Drawdown (feet) <br /> Total Depth of Completed Well Feet *May not be representative of a well's long term yield. <br /> Destruction Details: <br /> THE 6"STEEL WELL WAS SEALED 94'WITH BENTONITE AND A 3'CONCRETE CAP <br /> Other Observations: <br /> COUNTY INSLECTOR AARON <br /> Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />