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Depth from 1, the undersigned, certify that this report is complete and accurate to the best of my knowledge and belief <br />Surface Borehole Diameter (inches) Name CANEPA AND SONS INC <br />Feet to Feet <br />Person. Firm or Corporation <br />14384 CUESTA COURT <br />SONORA <br />CA 95370 <br />Address <br />City <br />State <br />Signed electronic signature received <br />12/28/2021 <br />425749 <br />C-57 Licensed Water Well Contractor <br />Date Signed <br />C-57 License Number <br />CSG # i State Well Number i Site Code i Local Well Number <br />N JW <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 />