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i r u.:�'YK .k A p:, t4t£•O+ ".�tz1CY ,P,ai:�< .6t`{,«..Z« ,.f i' '� _..Yt..,., Ib <br /> {{ <br /> :,:as Ya. <br /> i S 2 ¢., P i f ;�<if £ .tV�aS��g ar�fi c! 1' ,y.., Y f 3 �r. F L.0 c.� i• 3 # ,:P <br /> Casing Depth from Surface Wail Outside Screen Slot Size <br /> # Feet to Feet Casing Type Material Casings Speciflcatons Thickness Diameter Type if any Description <br /> (inches) (inches) (inches) <br /> 1 0 237 Blank PVC OD:6.900 In.(SDR: 0.329 6.9 <br /> 211 Thickness:0.329 <br /> in. <br /> 1 237 277 Screen PVC OD:6.900 in.I SDR: 0.329 6.9 Saw 0.032 <br /> 21_ Thickness:0.329 Cut <br /> in. <br /> .Ann�iralr,"IVlate`�ial � i <br /> Depth from <br /> Surface Fill Fill Type Details Filter Pack Size Description <br /> Feet to Feet <br /> 0 208 Bentonite High Solids <br /> 208 277 Filter Pack Other Gravel Pack No 6 sand pack <br /> Other Observations: <br /> Borehole.=:S ecifications' 1 n; ; Y Cel m..."Ki,on Statement=d }t, <br /> p , <br /> .. <br /> 1 ✓ <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 /> 0 277 12 Person,Firm or Corporation <br /> 1930 LADD RD MODESTO CA 95356 <br /> Address City State <br /> Signed electronic signature received 07/14/2021 290813 <br /> C-57 Licensed Water Well Contractor ate Signed C-57 L cense umber <br /> a <br /> CSG# State Well Number Site Code Local Well Number <br /> J ' N �—r IWI <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 />