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State of California <br /> Well Completion Report <br /> Form DWR 188 Submitted 3/19/2024 <br /> WCR2024-002337 <br /> Owner's Well Number Date Work Began 03/15/2024 Date Work Ended 03/15/2024 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number WP0045199 Permit Date 01/12/2024 <br /> Well Owner(must remain confidential pursuant to Water Code 13752) Former Use <br /> Name PAUL HEISEY III Activity Destroy <br /> Mailing Address 9555 ESCALON BELLOTA RD Former Use Water Supply <br /> City ESCALON State CA Zip 95320 <br /> Well Location <br /> Address 9555 ESCALON BELLOTA RD APN 207-030-040 <br /> City ESCALON Zip 95320 County San Joaquin Township 01S <br /> Latitude 37 52 50.9447 N Longitude -121 0 0.2087 W Range 09E <br /> Section 05 <br /> Deg. Min. Sec. Deg. Min. Sec. <br /> Baseline Meridian Mount Diablo <br /> Dec.Lat. 37.880818 Dec.Long. -121.000058 Ground Surface Elevation 114 <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 03/15/2024 <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"WELL WAS SEALED 24'WITH BENTONITE AND A 3'MUSHROOM CAP. <br /> Other Observations: <br /> COUNTY INSPECTOR DARIA <br /> Form DWR 188 rev. 12/1912017 Page 1 of 2 <br />