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236 243 clay <br /> 243 252 sand <br /> 252 254 clay <br /> 254 258 sand <br /> 258 272 coarse sand/gravel <br /> 272 283 clay <br /> Casing Depth from Surface Wall Outside Screen Slot Size <br /> # Feet to Feet Casing Type Material Casings Specificatons Thickness Diameter Type if any Description <br /> (inches) (inches) (inches) <br /> 1 0 255 Blank PVC OD:8.625 in.i SDR: 0.41 8.625 <br /> 211 Thickness:0.410 <br /> In. <br /> 1 255 275 1 Screen PVC OD:8.625 in.i SDR: 0.41 8.625 Saw 0.05 <br /> 21 i Thickness:0.410 Cut <br /> in. <br /> w <br /> Annarti�Aa erial' a ' <br /> t-ra .,e <br /> C <br /> Depth from <br /> Surface Fill FIII Type Details Filter Pack Size Description <br /> Feet to Feet <br /> 0 200 Bentonite High Solids <br /> 200 275 Filter Pack Other Gravel Pack No 6 sand pack <br /> Other Observations: <br /> -:- ' rte- � .1�os` `�g�[ a g�-tl i., sk�.: :,t 3 + <br /> Borehole Specifications ` ,r _ :Ceriffcatlon Staiemeht x <br /> Depth from I,the undersigned,certify that this report Is complete and accurate to the best of my knowledge and beAef <br /> Surface Borehole Diameter(Inches) Name HENNINGS BROS DRILLING CO INC <br /> Feet to Feet <br /> Person,Firm or Corporation <br /> 0 275 14 <br /> 275 283 8 1930 LADD RD MODESTO CA 95356 <br /> Address City State <br /> Signed electronic signature received 01/10/2024 290813 <br /> C-57 Licensed Water Well Contractor Date Signed C-57 License Number <br /> ss_ Qr t� _ ar r< z <br /> A Yd <br /> niy �t � �al � t <br /> CSG# State Well Number Site Code Local Well Number <br /> N ] FT I I 1wl <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 />