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: .=an_„=�<,...�'�i.:Q•�,,.,�:ST� a� ,:.��'�ns?1�+>*°.�'�•u. ,'..)Sk�.r��.,d.�z.,...�C`.s. eirr+ 4+�f��n�*s °`�. ,.:v�'t��'�a"•,,�`�_'��� <br /> th <br /> Casing Depth from Surface <br /> # Feet to Feet Casing Type Material <br /> Outside Screen Slot Size <br /> el Casings Speetficatons Thickness Diameter if any Description <br /> (inches) (inches) Type (inches) <br /> 1 0 230 Blank PVC OD:8.625 in.I SDR: 0.41 8.625 <br /> 211 Thickness:0.410 <br /> In. <br /> 1 230 250 Screen PVC OD:8.625 in.I SDR: 0.41 8.625 Saw 0.05 <br /> 21 Thickness:0.410 Cut <br /> in. <br /> ON_ g, t>w•.t.:...,a.n} a- . pa:'Z.� r,;: a "��h,, at �'t p `R s ': r y �t r f Ft.,"int t_.I#' :c`,.F3 t, T i ,ft. <br /> Depth from <br /> Surface Fill Fill Type Details Filter Pack Size Description <br /> Feet to Feet <br /> 0 206 Bentonite High Solids <br /> 206 1 250 Filter Pack Other Gravel Pack No 6 sand pack <br /> Other Observations: <br /> .. r .. , : - �,y f �,�.yst S'” ift l i, ,"'t 5 <br /> Borehole Spec�#cat�ons `del cation Staterne� s N 3 ; <br /> ..xfrs'Y.`. .i?!.T-4., <br /> Depth from 1,the undersigned,car*that this report is complete and acwrate to the bast of my lamwledge and belief <br /> Surface Borehole Diameter(inches) Name HENNINGS BROS DRILLING CO INC <br /> Feet to Feet <br /> 250 <br /> Person,Firm or Corporation <br /> 14 <br /> 0 <br /> 1930 LADD RD MODESTO CA 95356 <br /> Address City State <br /> Signed electronic signature received 10/1212021 290813 <br /> s C-57 Licensed Water Well <br /> Contractor Q..y5ate-Signed <br /> igned,.�-.., C-t5.7cf License <br /> icense Duimtb.er <br /> W#09tw1 f ' -t t. .4SrJ <br /> ' x. <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 />