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State of California <br /> Well Completion Report <br /> Form DWR 188 Submitted 5/5/2020 <br /> WCR2020-005838 <br /> Owner's Well Number Date Work Began 03/05/2020 Date Work Ended 03/05/2020 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number WP0040519 Permit Date 02/12/2020 <br /> Well Owner(must remain confidential pursuant to Water Code 13752) Former Use <br /> Name MIKE DEGROOT Activity Destroy <br /> Mailing Address 1880 BASI DR Former Use Water Supply <br /> City MANTECA State CA Zip 95336 <br /> Well Location <br /> Address 222 JOSEPH RD APN 216-340-060 <br /> City MANTECA Zip 95336 County San Joaquin Township 01S <br /> Latitude 37 48 56.9231 N Longitude -121 13 9.1379 W Range 07 E <br /> Section 29 <br /> Deg. Min. Sec. Deg. Min. Sec. <br /> Baseline Meridian Mount Diablo <br /> Dec.Lat. 37.815812 Dec.Long. -121.219205 Ground Surface Elevation 37 <br /> Vertical Datum Horizontal Datum WGS84 Elevation Accuracy Unknown <br /> Location Accuracy Unknown Location Determination Method 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 0 (Feet) Date Measured 03/05/2020 <br /> Total Depth of Boring Feet Estimated Yield' (GPM) Test Type <br /> Test Length (Hours) Total Drawdown (feet) <br /> Total Depth of Completed Well 40 Feet *May not be representative of a well's long term yield. <br /> Destruction Details: <br /> 40 FT WELL DESTRUCTION INSPECTED BY COUNTY 03.05.20 <br /> Other Observations: <br /> Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />