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State of California <br /> Well Completion Report <br /> Form DWR 188 Submitted 3/1/2024 <br /> WCR2024-001753 <br /> Owner's Well Number Date Work Began 01/18/2024 Date Work Ended 02/08/2024 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number WP0045252 Permit Date 02/02/2024 <br /> Well Owner(must remain confidential pursuant to Water Code 13752) Former Use <br /> Name JEN CALIFORNIA 23 LLC, Activity Destroy <br /> Mailing Address 1478 STONE POINT DR STE 100 Former Use Water Supply <br /> City ROSEVILLE State CA Zip 95661 <br /> Well Location <br /> Address 736 TURIN AVE APN 19827003 <br /> City MANTECA Zip 95337 County San Joaquin Township 01 S <br /> Latitude 37 48 25.6104 N Longitude -121 15 11.1851 W Range 06 E <br /> Section 36 <br /> Deg. Min. Sec. Deg. Min. Sec. <br /> Baseline Meridian Mount Diablo <br /> Dec. Lat. 37.807114 Dec. Long. -121.253107 <br /> Ground Surface Elevation <br /> Vertical Datum Horizontal Datum WGS84 Elevation Accuracy <br /> Location Accuracy Location Determination Elevation Determination Method <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 18 (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 275 Feet •May not be representative of a well's long term yield. <br /> Destruction Details: <br /> Remove turbine pump,bail oil,dig and remove casing 5'bgs,set tremie to bottom of well,pressure pump 10.3 sack,sand slurry from 275 to 5'bgs,blast <br /> perforate,top off cement,backfill to grade with native soil. <br /> Other Observations: <br /> Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />