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g x3Casngs,..r. <br /> „_.._ i >.:.ur._a.?� sr.,e z,t. :.,rbSkEx...,r1txr., .��t ..,, ,..,.. <br /> Casing Depth from Surface Wall Outside Screen Slot Size <br /> fi Feet to Feet Casing Type Material Casings Spectficatons Thickness Diameter Type <br /> if any Description <br /> (Inches) (inches) yp (inches) <br /> 1 0 255 Blank PVC OD:6.625 in. I SDR: 0.316 6.625 <br /> 211 Thickness:0.316 <br /> in. <br /> 1 255 275 Screen PVC OD:6.625 in. i SDR: 0.316 6.625 Saw 0.032 <br /> 211 Thickness:0.316 Cutj--- <br /> in. ww {{ <br /> r ,t».. ., jA .li�' }}'TM.E�_:.s - _. i' i.±s �._r'. xr_5 <br /> w }. <br /> _.. ..... ......... rte..,.... .,..i,-. 1� SNF . . <br /> Depth from <br /> Surface Fill Fill Type Details Filter Pack Size Description <br /> Feet to Feet <br /> 0 108 Bentonite High Solids <br /> 108 275 Filter Pack Other Gravel Pack No 6 sand pack <br /> Other Observations: <br /> .,. t t s � �. '� `v c @ �'K t t3 A'�t"5 <br /> glo)reho[ SpeC CA ions '; tri, , r,,� , , GeRM 11 xrti i a C ement' : rt# " <br /> .. .,.... ....�..�.. .». .�... .«. .... .,v. ..�. «.� .... <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 /> 0 275 12 Person,Firm or Corporation <br /> _ 1930 LADD RD MODESTO CA 95356 <br /> Address City State <br /> Signed electronic signature received 09/01/2022 290813 <br /> C-57 Licensed Water Well Contractor Date Signed C-57 License Number <br /> `{ l Y A4 a'(° Y}{� 1 .�t �D{W VsefOlnlyi f Y-r'Q i_ �} <br /> ,., ci. �...�....V= , t-Wt.�t h dna v ., 1ar..a{ rRr <br /> CSG# State Well Number Site Code Local Well Number <br /> NIFTTI I ER <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 />