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State of California <br /> Well Completion Report <br /> Form DWR 188 Submitted 9/26/2019 <br /> WCR2019-013629 <br /> Owners Well Number 1 Date Work Began 09/17/2019 Date Work Ended 09/17/2019 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number WP0039997 Permit Date 08/20/2019 <br /> Well Owner(must remain confidential pursuant to Water Code 13752) Former Use <br /> Name JOSEPH WEBER Activity Destroy <br /> Mailing Address 10706 SOUTHLAND RD Former Use Water Supply <br /> City MANTECA State CA Zip 95336 <br /> Well Location <br /> Address 10691 SOUTHLAND RD APN 208-050-200 <br /> City MANTECA Zip 95336 County San Joaquin Township 05S <br /> Latitude 37 29 28.0644 N Longitude -121 6 9.4932 W Range 08 E <br /> Section 21 <br /> Deg. Min. Sec. Deg. Min. Sec. Baseline Meridian Mount Diablo <br /> Dec. Lat. 37.491129 Dec.Long. -121.102637 Ground Surface Elevation 53 <br /> Vertical Datum Horizontal Datum WGS84 Elevation Accuracy Unknown <br /> Location Accuracy Unknown Location Determination Method Other Elevation Determination Method Digital Aerial Photo <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 50 (Feet) Date Measured 09/17/2019 <br /> Total Depth of Boring Feet Estimated Yield* (GPM) Test Type <br /> Test Length (Hours) Total Drawdown (feet) <br /> Total Depth of Completed Well 70 Feet May not be representative of a well's long term yield. <br /> Destruction Details: <br /> 70 FT.DESTRUCTION FILLED WITH BENTONITE <br /> Other Observations: <br /> Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />