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t <br /> State of California <br /> Well Completion Report <br /> Form DWR 188 Submitted 12/11/2023 <br /> WCR2023-013407 <br /> Owner's Well Number Date Work Began 11/17/2023 Date Work Ended 11/17/2023 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number WP0044089 Permit Date 11/17/2023 <br /> Well Owner(must remain confidential pursuant to Water Code 13752) Former Use <br /> Name JOYCE VANTILL TRUST, Activity Destroy <br /> Mailing Address 11171 E MONCURE RD Former Use Water Supply <br /> City RIPON State CA Zip 95366 <br /> Well Location <br /> Address 28782 S TWO RIVERS RD APN 257-100-010 <br /> City MANTECA Zip 95337 County San Joaquin Township 03S <br /> Latitude 37 41 37.6259 N Longitude -121 13 42.3516 W Range 07 E <br /> Section 08 <br /> Deg. Min. Sec. Deg. Min. Sec. <br /> Baseline Meridian Mount Diablo <br /> Dec.Lat. 37.693785 Dec.Long. -121.228431 Ground Surface Elevation 37 <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 11/17/2023 <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 16"STEEL WELL WAS SEALED 62'WITH BENTONITE 24 BAGS AND A 3'CONCRETE CAP <br /> Other Observations: <br /> COUNTY INSPECTOR ALDARA <br /> Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />