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Casings <br /> Casing Depth from Surface Wall Outside Screen Slot Size <br /> # Feet to Feet Casing Type Material Casings Specificatons Thickness Diameter if any Description <br /> (inches) (inches) Type (inches) <br /> 1 0 189 Blank PVC OD:2.375 in. 1 0.218 2.375 <br /> Thickness:0.218 in. <br /> 1 189 300 Screen PVC OD:2.375 in. 1 0.218 2.375 Milled 0.0625 <br /> Thickness:0.218 in. Slots <br /> Annular Material <br /> Depth from <br /> Surface Fill Fill Type Details Filter Pack Size Description <br /> Feet to Feet <br /> 0 172 Cement 10.3 Sack Mix <br /> 172 189 Other Fill See description. Pea Gravel <br /> 189 306 Other Fill See description. Coke Breeze <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 MAGGIORA BROS DRILLING INC <br /> Feel to Feet <br /> 0 306 12 Person, Firm or Corporation <br /> 595 AIRPORT BLVD WATSONVILLE CA 95076 <br /> Address City State <br /> Signed electronic signature received 07/30/2019 249957 <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 />