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r State of California <br /> Well Completion Report <br /> Form DWR 188 Submitted 10/4/2019 <br /> WC R2019-014016 <br /> Owner's Well Number 1 Date Work Began 09/27/2019 Date Work Ended 09/27/2019 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number WP0039998 Permit Date 08/23/2019 <br /> Well Owner(must remain confidential pursuant to Water Code 13752) Former Use <br /> Name TISZAUER FAMILY LTP., Activity Destroy <br /> Mailing Address P.O.BOX 12625 <br /> Former Use Water Supply <br /> City FORT PIERCE State FL Zip 34981 <br /> Well Location <br /> Address 2317 W YOSEMITE AVE APN 198-170-33 <br /> City MANTECA Zip 95337 County San Joaquin Township 05S <br /> Latitude 37 28 30.7272 N Longitude -121 9 9.2375 W Range 07 E <br /> Section 25 <br /> Deg. Min. Sec. Deg. Min. Sec. Baseline Meridian Mount Diablo <br /> Dec. Lat. 37.475202 Dec.Long. -121.152566 Ground Surface Elevation 26 <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 /> Depth to first water (Feet below surface <br /> Orientation Vertical Specify ) <br /> Drilling Method Drilling Fluid Depth to Static <br /> Water Level 0 (Feet) Date Measured 09/27/2019 <br /> Total Depth of Boring Feet Estimated Yield* (GPM) Test Type <br /> Test Length (Hours) Total Drawdown (feet) <br /> Total Depth of Completed Well 51 Feet *May not be representative of a well's long term yield. <br /> Destruction Details: <br /> FILLED WITH BENTONITE AND CAPPED OFF <br /> Other Observations: <br /> Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />