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State of California <br /> Well Completion Report <br /> Form DWR 188 Submitted 10/23/2023 <br /> WCR2023-011622 <br /> Owner's Well Number Date Work Began 10/20/2023 Date Work Ended 10/20/2023 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number WP0043223 Permit Date 04/25/2022 <br /> Well Owner(must remain confidential pursuant to Water Code 13752) Former Use <br /> Name OSCAR ORTIZ Activity Destroy <br /> Mailing Address 29328 E.STATE ROUTE 120 <br /> Former Use Water Supply <br /> City ESCALON State CA Zip 95320 <br /> Well Location <br /> Address 29328 E HWY 120 HWY APN 229-250-310 <br /> City ESCALON Zip 95320 County San Joaquin Township <br /> Latitude 37 47 36.5243 N Longitude -120 56 58.578 W Range <br /> Section <br /> Deg. Min. Sec. Deg. Min. Sec. <br /> Baseline Meridian <br /> Dec.Lat. 37.793479 Dec.Long. -120.949605 Ground Surface Elevation 149 <br /> Vertical Datum Horizontal Datum WGS84 Elevation Accuracy Unknown <br /> Location Accuracy >50 Ft Location Determination GPS Elevation Determination Method Digital Aerial Photo <br /> Method <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 (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 Feet 'May not be representative of a well's long term yield. <br /> Destruction Details: <br /> THE 6"STEEL WELL WAS SEALED 76'DEEP WITH BENTONITE AND A 3'CONCRETE CAP <br /> Other Observations: <br /> COUNTY INSPECTOR AARON <br /> Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />