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<br /> C
<br /> . asings
<br /> Casing Depth from Surface Wall Outside Screen Slot Sizo
<br /> # Feet to Feet ickness Diameter Type if any Description
<br /> Casing Type Material Casings Specificatons Th
<br /> (inches) (inches) (inches)
<br /> 1 0 170 Blank PVC OD:8.625 in.I SDR: 0.41 8.625
<br /> 21 1 Thickness:0.410
<br /> in.
<br /> 1 170 210 Screen PVC OD:8,625 in.I SDR: 0.41 8.625 Saw 0.05
<br /> 21 1 Thickness:0.410 out
<br /> in.
<br /> yy”'
<br /> F ter/`
<br /> :,,.,,.e,..,,,. ✓, �,< .,.,, ......�., ,,,,..,.� .,,,. ...... .. .... .,.,,r,c.ew.✓F4*.�.✓e;�.>.,/ws%tr,ro u.'::.s.,v�//y/,�2y,f� ...,kr, ,,�,�.4k�.,�.fr.: ,�'C�,v'O//�'�J"a,��.d'�/,'r/,G,ty.///>
<br /> Depth from
<br /> Surface Fill Fill Type Details Filter Pack Size Description
<br /> Feet to Feet
<br /> 0 130 Bentonite Other Bentonite
<br /> 130 1 210 Filter Pack Other Gravel Pack
<br /> Other Observations:
<br /> rr%•� �'� �',r�r�� Q(�om' ,��/�"i'�/,, ���� %/i/ �/. rr /r%��r9 ��� #��,������i�ti�i�''�"�'� �ry%.ii'„
<br /> ,...,.../,.r,�/r,'`r'�„f4� �g'�,tee ,.,,. .,,�,,,... k�$?',�� �,....b ��✓��. ,,,,,,.N.�.,s,. ���,�X.t;..�,F'i„! � -'y9i;'.c,.,,,6lr ,vS.����Cdf��.y/.✓�✓,cs✓r;ram,/,.., .�✓r✓�bcr�^,',.f ..,�;,..
<br /> Depth from I.the undersigned,certify that the 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 /> 0 210 14 Person,Firm or Corporation
<br /> 1930 LADD RD MODESTO CA 95356
<br /> Address City State
<br /> Signed electronic signature received 12/03/2018 290813
<br /> C-57 Licensed Water Well Contractor Data Signed C-57 License Number
<br /> CSG# State Well Number Site Code Local Well Number
<br /> N I ( T 1Fy7y�
<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
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