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F376 400 COARSE SAND <br /> a I✓` - dr�Ilc�...:. � aS#n� .�! , r'�^i` �{� h �: �'� rn <br /> wW`.��� '@`N <br /> Casing Depth from Surface Outside Slot Size <br /> ace Screen <br /> # Feet to Feet Casing Type Material Casings Specificatons Thickness Diameter Tif any Description <br /> Type(inches) (inches) (inches) <br /> 1 0 240 Blank PVC OD: 12.750 in. SDR: 0.606 12.75 LINER <br /> 21 1 Thickness:0.606 <br /> in. <br /> 1 240 320 Screen PVC OD: 12.750 in. SDR: 0.606 12.75 Milled 0.025 LINER <br /> 21 1 Thickness:0.606 Slots <br /> in. <br /> 1 320 360 Blank PVC OD: 12.750 in. SDR: 0.606 12.75 LINER <br /> 21 Thickness:0.606 <br /> in. <br /> 1 360 400 Screen PVC OD: 12.750 in. SDR: 0.606 12.75Milled 0.025 LINER <br /> 21 Thickness:0.606 Slots <br /> in. <br /> Is � � �4nnu�ae.Mat�r#moi <br /> .:p ,A�.�aax' Yr�li pm�d <br /> i <br /> Depth from <br /> Surface Fill Fill Type Details Filter Pack Size Description <br /> Feet to Feet <br /> 0 200 Bentonite High Solids PUMPED BENTONITE <br /> 200 400 Filter Pack Other Gravel Pack PEA GRAVEL BIRDS EYE PEA GRAVEL <br /> Other Observations: <br /> BOtEI10Ie S�eGI�ICatlOtlSr k+ #f#G �te <br /> �' W&- wt . Ea� <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 CANEPA AND SONS INC <br /> Feet to Feet <br /> 0 25 30 Person,Firm or Corporation <br /> 25400 20 14384 CUESTA COURT SONORA CA 95370 <br /> Address City State Zip <br /> Signed electronic signature received 01/05/2023 425749 <br /> C-57 Licensed Water Well Contractor ��D++at-Signed C-57 License Number <br /> F',wia��t v <br /> CSG# State Well Number Site Code Local Well Number <br /> I 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 2 <br />