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State of California <br /> Well Completion Report <br /> Form DWR 188 Submitted 7/26/2021 <br /> WCR2021-009357 <br /> Owner's Well Number Date Work Began 07/22/2021 Date Work Ended 07/26/2021 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number WPO04-2331 Permit Date 07/22/2021 <br /> Well Owner must remain confidential ursuant to.Water Code 13752 " Former Use <br /> p. ... .. ... . ) <br /> Name TESORO COMMONS LLC, Activity Destroy <br /> Mailing Address 6137 Hammett Ct. Former Use Water Supply <br /> City Modesto State CA Zip 95358 <br /> s <br /> "40L,o ationxT` t <br /> s . <br /> Address 1821 E Woodward AVE APN 224-050-35 <br /> City Manteca Zip 95337 County San Joaquin Township 02S <br /> Latitude 37 46 31.2596 N Longitude -121 16 59.6636 W Range 06 E <br /> Section 11 <br /> Deg. Min. Sec. Deg. Min. Sec. Baseline Meridian Mount Diablo <br /> Dec.Lat. 37.7753499 Dec.Long. -121.2832399 <br /> Ground Surface Elevation <br /> Vertical Datum Horizontal Datum WGS84 Elevation Accuracy <br /> Location Accuracy Location Determination Method Elevation Determination Method <br /> Borehole Information _ <br /> Water Level_and Yield of Completed Weil <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 98 Feet *May not be representative of a well's long term yield. <br /> Destruction Details: <br /> Pulled pump from 8in steel cased well.Pumped bentonite from the bottom to the top of the well.Dug down,cut off casing 5',mushroom the top with <br /> bentonite,cement cap on top and buried with native soil. <br /> Other Observations: <br /> Form DWR 188 rev. 12/19/2017 Page_.of 2 <br />