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Borehole Specifications Certification Statement: <br />Depth from <br />Surface <br />Feet to Feet <br />Borehole Diameter (Inches) <br />I. the undersisned, certify that this report is complete and accurate to the best of my knowledge and belief <br />Name 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 />Zip <br />Signed electronic signature received 09/20/2022 290813 <br />C-57 Licensed Water Well Contractor Date Signed 0-57 License Number <br />DWR Use Only <br />CSG#State Well Number Site Code Local Well Number <br />N W <br />Latitude Deg/Mln/Sec Longitude Deg/Mln/Sec <br />TRS: <br />APN: <br />Form DWR 188 rev. 12/19/2017 Page _2_ of _2_