Laserfiche WebLink
Casings <br /> Wall Outside Slot Size <br /> Casing Depth from Surface Screen <br /> # Feet to Feet Casing Type Material Casings Specificatons Thickness Diameter Type if any Description <br /> (inches) (inches) (inches) <br /> 1 0 257 Blank Low Carbon Grade:ASTM A53 0.188 6.625 <br /> Steel <br /> 2 257 315 No Casing Other N/A NO CASING INSTALLED <br /> Installed <br /> Annular Material <br /> Depth from <br /> Surface Fill Fill Type Details Filter Pack Size Description <br /> Feet to Feet <br /> 0 100 Cement 10.3 Sack Mix <br /> 100 1 315 Other Fill See description. OPEN HOLE-NO FILLER <br /> Other Observations: <br /> Borehole Specifications Certification Statement <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 KEN GROSS PUMP SERVICE <br /> Feet to Feet <br /> 0 315 12 Person, Firm or Corporation <br /> 353 NORTH LINCOLN WAY GALT CA 95632 <br /> Address City State Zip <br /> Signed electronic signature received 01/29/2019 530672 <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/Min/Sec Longitude Deg/Min/Sec <br /> TRS: <br /> APN: <br /> Form DWR 188 rev. 12/19/2017 Page 2 of 2 <br />