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1583 1612 J Blue Silty Clay with Sand Stringer. <br /> V111 VON <br /> i�&Casings <br /> Wall Outside Slot Size <br /> Casing Depth from Surface Screen <br /> # Feet to Feet Casing Type Material Casings Speciflcatons Thickness Diameter Type if any Description <br /> (inches) (inches) (inches) <br /> Annular Material' <br /> ��%� i <br /> Depth from <br /> Surface Fill Fill Type Details Filter Pack Size Description <br /> Feet to Feet <br /> 0 1520 Cement Portland Cement/Neat Cement Neat Cement <br /> 1520 1 1612 Bentonite Non Hydrated Bentonite 3/8"Coated Pellets <br /> L <br /> uction Details: <br /> as a test hole drilled for the purpose of water quality sampling.After the sampling was complete we drilled out the borehole to total depth and placed <br /> ug in the bottom and pumped neat cement to the surface. <br /> Other Observations: <br /> ` r Borehole Specifications ��' Certification Statements ' <br /> Depth from I,the undersigned,certify that this report is complete and accurate to the best of my knowledge and belief <br /> Surface Borehole Diameter(inches) Name STONEHOLISE WELL DRILLING <br /> Feet to Feet <br /> Person,Firm or Corporation <br /> 0 1612 12.25 <br /> 7801 LAKESIDE DRIVE RENO NV 89511 <br /> Address City State <br /> Signed electronic signature received 03/28/2018 904639 <br /> C-57 Licensed Water Well Contractor Date Signed C-57 License Number <br /> DWR Use Only <br /> CSG# State Well Number Site Code Local Well Number <br /> N W <br /> Latitude Deg/Mirl Longitude Deg/Min/Sec <br /> TRS: <br /> APN: <br /> Form DWR 188 rev. 12/19/2017 Page 2 of 2 <br />