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Borehole Specifications ^, ^Cectifljb^tion Statement ' / <br />Depth from <br />Surface <br />Feet to Feet <br />Borehole Diameter (inches) <br />1, the undersigned, certify that this report Is complete and accurate to the best of my knowledge and belief <br />Name HENNINGS BROS DRILLING CO INC <br />0 330 14 <br />Person, Firm or Corporation <br />1930LADDRD MODESTO CA 95356 <br />Address City State Zip <br />330 400 8 <br />Signed electronic signature received 09/17/2022 290813 <br />C-57 Licensed Water Well Contractor Date Signed 0-57 License Number <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 A