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'148 163 CLAY <br /> 163 178 GRAVEL <br /> 178 232 CLAY <br /> 232 237 SAND <br /> 237 247 CLAY <br /> 247 252 SAND <br /> 252 261 CLAY <br /> 261 266 SAND <br /> 266 295 CLAY <br /> 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 0 245 Blank PVC OD:6.900 in.I SDR: 0.329 6.9 <br /> 211 Thickness:0.329 <br /> in. <br /> 2 245 265 Screen PVC OD:6.900 in.I SDR: 0.329 6.9 Saw 0.045 <br /> 211 Thickness:0.329 Cut <br /> in. <br /> Annular Material <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 1 265 Other Fill See description. REG.GRAVEL <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 MASELLIS DRILLING INC <br /> Feet to Feet <br /> 0 295 12 Person,Firm or Corporation <br /> 119 ALBERS ROAD MODESTO CA 95357 <br /> Address City State Zip <br /> Signed electronic signature received 07/21/2021 668622 <br /> C-57 Licensed Water Well Contractor Date Signed C-57 License Number <br /> DWR Use Only <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 <br />