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191 197 clay <br /> 197 203 sand <br /> 203 235 clay <br /> 235 249 j sand <br /> 249 253 clay <br /> 253 277 sand <br /> 277 297 clay <br /> 297 337 sand <br /> 337 376 clay <br /> 376 398 coarse sand <br /> 398 400 clay <br /> =Casings <br /> t <br /> Casing Depth from Surface Wall Outside Screen Slot Size <br /> # Feet to Feet Casing Type Material Casings Specificatons Thickness Diameter Type If any Description <br /> (inches) (inches) (inches) <br /> 1 0 360 Blank PVC OD:8.625 in.I SDR: 0.41 8.625 <br /> 211 Thickness:0.410 <br /> in. <br /> 1 360 400 Screen PVC OD:8.625 in.I SDR: 0.41 8.625 Saw 0.05 <br /> 211 Thickness:0.410 Cut <br /> in. <br /> :Annular Materlal <br /> Depth from <br /> Surface Fill Fill Type Details Filter Pack Size Description <br /> Feet to Feet <br /> 0 105 Bentonite High Solids <br /> 105 1 400 Filter Pack Other Gravel Pack No 6 sand pack <br /> Other Observations: <br /> Borehole Specifications ,..Cdrtificzitions 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 HENNINGS BROS DRILLING CO INC <br /> Feet to Feet <br /> Person,Firm or Corporation <br /> 0400 14 <br /> 1930 LADD RD MODESTO CA 95356 <br /> Address City State Zip <br /> Signed electronic signature received 05/12/2020 290813 <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-1 of 2 <br />