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IBorehoIei Specifications '^£;r;it^atibi^iStatem ''', <br />Depth from <br />Surface <br />Feet to Feet <br />Borehole Diameter (Inches) <br />l.thound <br />Name <br />is compiete and accurate to the best of my knowledge and belief <br />HENNINGS BROS DRILLING CO INC <br />Person, Firm or Corporation <br />1930 LADD RD <br />Address <br />MODESTO <br />city <br />CA <br />State <br />95356 <br />"ZiT" <br />Signed electronic signature received 05/18/2022 290813 <br />C-57 Licensed Water Well Contractor Date Signed 0-57 License Number <br />f'' I !f i- <br />CSG# <br />,0 :dWR U^eijphlyr r . <br />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 ^ of ^