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1 <br /> State of California <br /> Well Completion Report <br /> Form DWR 188 Submitted 10/24/2023 <br /> WCR2023-011636 <br /> Owner's Well Number Date Work Began 10/18/2023 Date Work Ended 10/18/2023 <br /> Local Permit Agency San Joaquin County Environmental Health Department <br /> Secondary Permit Agency Permit Number WP0044899 Permit Date 09/25/2023 <br /> Well Owner(must remain confidential pursuant to Water Code 13752) Former Use <br /> Name THE SOCIETY FOR CHRISTIAN INSTRUCTION OF RIPON, Activity Destroy <br /> Mailing Address 435 MAPLE AVE <br /> Former Use Water Supply <br /> City RIPON State CA Zip 95366 <br /> Well Location <br /> Address 775 FRONTAGE RD APN 261-630-110 <br /> City RIPON Zip 95366 County San Joaquin Township 02S <br /> Latitude 37 44 48.2244 N Longitude -121 7 56.0208 W Range 08 E <br /> Section 19 <br /> Deg. Min. Sec. Deg. Min. Sec. Baseline Meridian Mount Diablo <br /> Dec.Lat. 37.746729 Dec.Long. -121.132228 Ground Surface Elevation 61 <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"WELL WAS SEALED 92'WITH BENTONITE AND A 3'CONCRETE CAP. <br /> Other Observations: <br /> COUNTY INSPECTOR ALDARA <br /> Form DWR 188 rev. 12/19/2017 Page 1 of 2 <br />