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State of Califomia <br /> Well Completion Report <br /> Form DWR 188 Submitted 4/13/2021 <br /> WCR2021-004496 <br /> Owner's Well Number Date Work Began 03/24/2021 Date Work Ended 04/0312021 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number 41772 Permit Date 03/08/2021 <br /> s, remain lconfidential:-, , urs,uam. <br /> Y FMdr, <br /> se <br /> Name VINTAGE 11 L.P., Activity Destroy <br /> Mailing Address 135 Fifth St. Former Use Water Supply <br /> City Oakdale State CA Zip 95361 <br /> Vtilell 0C <br /> tit <br /> Address 1380 E Woodward AVE APN 224-050-09 <br /> City Manteca Zip 95337 County San Joaquin Township 02S <br /> Latitude 37 46 28.5185 N Longitude -121 11 40.4109 W Range 07 E <br /> Section 10 <br /> Deg. Min. Sec. Deg. Min. Sec. Baseline Meridian Mount Diablo <br /> Dec.Lat. 37.7745885 Dec.Long. -121.1945586 Ground Surface Elevation <br /> Vertical Datum Horizontal Datum WGS84 Elevation Accuracy <br /> Location Accuracy Location Determination Method Elevation Determination Method <br /> D <br /> rx` orei an M feted;U--z <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 56 Feet *May not be representative of a well's long term yield. <br /> Destruction Details: <br /> Pulled pump from 1 Oin steel cased irrigation well.Pumped full of 10.3 sack mix cement from bottom to the top,mushroom cap,dug down,cut off casing 5ft, <br /> buried with native soil. <br /> Other Observations: <br /> Form DWR 188 rev. 12/19/2017 Page 1 of <br />