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180 <br />188 <br />r <br />BROWN SAND <br />188 <br />215 <br />BROWN CLAY <br />215 <br />223 <br />FINE SAND <br />223 <br />230 <br />BLUE CLAY <br />230 <br />240 <br />BLUE SAND <br />240 <br />262 <br />BLUE CLAY <br />262 <br />285 <br />BROWN CLAY <br />285 <br />305 <br />SAND <br />305 <br />345 <br />BROWN SHALE <br />345 <br />348 <br />SAND <br />348 <br />400 <br />BROWN CLAY <br />Casings <br />Casing <br />Depth from Surface <br />Casing Type <br />Material <br />Casings Specificatons <br />Wall <br />Thickness <br />Outside <br />Diameter <br />Screen <br />Slot Size <br />if any <br />Description <br /># <br />Feet to Feet <br />24 <br />(inches) <br />(inches) <br />Type <br />(inches) <br />1 <br />0 <br />275 <br />Blank <br />Low Carbon <br />N/A <br />0.25 <br />16 <br />LocalWell Number <br />Steel <br />Latitude Deg/Min/Sec Longitude Deg/Min/Sec <br />TRS: <br />APN: <br />2 <br />275 <br />400 <br />Other: OPEN <br />Other <br />N/A <br />0 <br />0 <br />OPEN HOLE <br />HOLE <br />Annular Material <br />Depth from <br />Surface <br />Feet to Feet <br />Fill <br />Fill Type Details Filter Pack Size Description <br />0 <br />50 <br />Cement <br />10.3 Sack Mix <br />50 <br />1 275 <br />Other Fill <br />See description. GRAVEL <br />Other Observations: <br />Borehole Specifications <br />Certification Statement <br />Depth from <br />I, the undersigned. certify that this report is complete and accurate to the best of my knowledge and belief <br />Surface <br />Borehole Diameter (inches) <br />Name MASELLIS DRILLING INC <br />Feet to Feet <br />Person, Firm or Corporation <br />0 400 <br />24 <br />119 ALBERS ROAD MODESTO CA 95357 <br />Address City State Zip <br />Signed electronic signature received 07/28/2022 668622 <br />C-57 Licensed Water Well Contractor Date Signed C-57 License Number <br />DWR Use Only <br />CSG # <br />State Well Number <br />Site Code <br />LocalWell Number <br />—N] FT I I 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 />