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<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 0 220 Blank PVC OD:8.625 In.(SDR: 0.41 8.625
<br /> 211 Thickness:0.410
<br /> In.
<br /> 1 220 240 Screen PVC OD:8.625 In.I SDR: 0.41 8.625 Saw 0.05
<br /> 21 Thickness:0.410 Cut
<br /> In.
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<br /> Depth from
<br /> Surface Fill Fill Type Details Filter Pack Size Description
<br /> Feet to Feet
<br /> 0 194 Bentonite High Solids
<br /> 194 1 240 Filter Pack Other Gravel Pack No 6 sand pack
<br /> Other Observations:
<br /> - •- ,, t Y� ,, ,�{ �r =�Ce ifc' t on�S� teme�"� ` F f � r
<br /> B:orehoteS •eci#icatlons� -� � rt a i. _ a n ,� � ., , R .1 x�
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<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 03/24/2021 290813
<br /> C-57 Licensed Water Well Contractor Date Signed C-57 License Number
<br /> i� � i 9t=, '�„�e 1_J*�31t{ �x t DWS�s.c��017.G�Ol■4�* ;'�,�,; � SY� }��- 8 j3'.
<br /> 'U
<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 2 of 2
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