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casings, <br /> Wall Outside Slot Size <br /> Casing Depth from Surface Screen <br /> # Feet to Feet Casing Type Material Casings Specificatons Thickness Diameter Type If any Description <br /> (inches) (inches) (inches) <br /> 1 0 160 Blank PVC OD:8.625 in.I SDR: 0.332 8.625 <br /> 26 1 Thickness:0.332 <br /> in. <br /> 1 160 200 Screen PVC OD:8.625 in.I SDR: 0.41 8.625 Saw 0.05 <br /> 21 Thickness:0.410 Cut <br /> in. <br /> -A <br /> ' I <br /> Depth from <br /> iSurface Fill Fill Type Details Filter Pack Size Description <br /> Feet to Feet <br /> i 0 103 Bentonite High Solids <br /> 103 200 Filter Pack Other Gravel Pack No 6 sand pack <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 HENNINGS BROS DRILLING CO INC <br /> Feet to Feet <br /> 0 et 14 Person,Firm or Corporation <br /> 1930 LADD RD MODESTO CA 95356 <br /> Address City State <br /> Signed electronic signature received 09/08/2020 290813 <br /> C-57 Licensed Water Well Contractor Date Signed C-57 License Number <br /> DWR.Use.Onlyw <br /> CSG# State Well Number Site Code Local Well Number <br /> NFTi I i iW <br /> Latitude Deg/Min/Sec Longitude Deg/Min/Sec <br /> TRS: <br /> APN: <br /> Form DWR 188 rev. 12/19/2017 Page 2 of-L <br />