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State of California <br /> Well Completion Report <br /> Form DWR 188 Submitted 5/8/2024 <br /> WCR2024-003990 <br /> Owner's Well Number Date Work Began 04/18/2024 Date Work Ended '05/01/2024 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number 45475 Permit Date 04/26/2024 <br /> -. <br /> Well Owner _ _ 3752). Former;Use. <br /> must�remailn:confidentlal ursuant to Water.Co <br /> Name Randy Schmidt Activity Destroy <br /> Mailing Address 1463 Roosevelt Ave. Former Use Water Supply <br /> City Escalon State CA Zip 95320 <br /> Well Locatio <br /> R fa.j.,.3a <br /> Address 26372 Magnolia AVE APN 229-080-20 <br /> City Escalon Zip 95320 County San Joaquin Township 01S <br /> Latitude 37 48 55.0504 N Longitude -120 59 10.2062 W Range 09 E <br /> Section 28 <br /> Deg. Min. Sec. Deg. Min. Sec. Baseline Meridian Mount Diablo <br /> Dec.Lat. 37.8152918 Dec.Long. -120.9861684 Ground Surface Elevation <br /> Vertical Datum Horizontal Datum WGS84 Elevation Accuracy <br /> Location Accuracy Location Determination Elevation Determination Method <br /> Method <br /> Sore hole:anformationand,Y7d.r.of Com leted Well; <br /> .. :- ., .i....: :.r......:. . .... . :. <br /> p . <br /> Orientation Vertical Specify Depth to first water (Feet below surface) <br /> Drilling Method Drilling Fluid Depth to Static <br /> Water Level (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 80 Feet *May not be representative of a well's long term yield. <br /> Destruction Details: <br /> Pulled pump in old well.Pumped bentonite from the bottom to the top of the old bin steel cased well.A cement cap was placed on the top. <br /> Other Observations: <br /> Form DWR 188 rev. 12/19/2017 Page_L of 2 <br />