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State of California <br /> Well Completion Report <br /> Form DWR 188 Submitted <br /> WCR2025-011647 <br /> WCR Number of Original Well: <br /> Owner's Well Number: Date Work Began: 12/02/2025 Date Work Ended: 12/02/2025 <br /> Local Permit Agency: San Joaquin County Environmental Health Department County: San Joaquin <br /> Secondary Permit Agency: Permit Number: WP2501316 Permit Date: 11/12/2025 <br /> Well Owner(must remain confidential pursuant to Water Co Planned Use and Activity <br /> Name: Activity: Well Destruction (of existing <br /> Business Name: NORTHERN CA 3 INVESTMENTS. LLC. well <br /> Address: 2368 BENTLY RIDGE DR Former Use: Water Supply <br /> Water Supply: Domestic <br /> City: SAN JOSE State: California Zip: 95138 <br /> Well Location <br /> Address: 2641 BRONZAN RD APN: 24141046 <br /> City: MANTECA Zip: 95337 Township: 02S Range: 06EE <br /> Latitude: 37 Deg 47 Min.0.6132 Longitude: -121 Deg. 16 Min.28.6428 Section: 2 BM: Mount Diablo <br /> Sec. N Sec.W Ground Surface Elevation: 21 <br /> Dec.Lat.: 37.783163 Dec.Long.: -121.274623 Elevation Accuracy: Unknown <br /> Vertical Datum: Horizontal Datum: Elevation Determination Method: Digital <br /> Location Accuracy: >50 Ft Location Determination Method: GPS Aerial Photo <br /> Borehole Information Water Level and Yield of Completed Wellc <br /> Orientation: Vertical #of casings(Specify): 1 Depth to first water: (Feet below surface) <br /> Drilling Method: Drilling Fluid: Depth to Static Water Level: LEeLet <br /> Total Depth of Boring: Feet Date Measured: <br /> Total Depth of Completed Well: Feet Estimated Yield*: (GPM) Test Type: <br /> Test Length*: (Hours) Total Drawdown: (Feet) <br /> *May not be representative of a well's long term yield. <br /> Destruction Details: THE 5" STEEL WELL WAS SEALED 60'WITH BENTONITE DUG DOWN AND A 3' MUSHROOM CAP <br /> Other Observations: COUNTY INSPECTOR ALDARA <br /> DWR Form 188 rev 10/09/2025 Page I of 2 <br />