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220 225 BLUE SAND <br /> 225 230 BLUE CLAY <br /> 230 237 SET UP SAND <br /> 237 252 BLUE CLAY <br /> 252 270 BLUE SAND <br /> 270 280 BLUE CLAY <br /> 280 290 BLUE SAND <br /> 290 295 BLUE CLAY <br /> Casings <br /> Casing Depth from Surface Wall Outside Slot SizeScreen <br /> # Feet to Feet Casing Type Material Casings Specificatons Thickness Diameter Type if any Description <br /> (inches) (inches) (inches) <br /> 1 0 220 Blank PVC OD: 10.750 in. I SDR: 0.511 10.75 <br /> 21 1 Thickness:0.511 <br /> in. <br /> 2 220 —n Screen PVC OD: 10.750 in. I SDR: 0.511 10.75 Saw 0.045 <br /> 21 1 Thickness:0.511 Cut <br /> in. <br /> Annular Material <br /> Depth from <br /> Surface Fill Fill Type Details Filter Pack Size Description <br /> Feet to Feet <br /> 0 56 Cement 10.3 Sack Mix <br /> 56 1 280 Other Fill See description. BIRDS EYE GRAVEL <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 MASELLIS DRILLING INC <br /> Feet to Feet <br /> 0 1 295 18 <br /> Person, Firm or Corporation <br /> 119 ALBERS ROAD MODESTO CA 95357 <br /> Address City State Zip <br /> Signed electronic signature received 08/20/2019 668622 <br /> C-57 Licensed Water Well Contractor Date Signed C-57 License Number <br /> Attachments DWR Use Only <br /> Image_00163.pdf-Permit CSG# State Well Number Site Code Local Well Number <br /> 30027 N.VAIL THORTON-MAP.pdf-Location Map <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 />