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Other Observations: <br /> Borehole Specifications Certification Statement <br /> Depth from Surface Borehole Diameter 1,the undersigned,certify that this report is complete and accurate to the best of my knowledge <br /> (Feet to Feet) (inches) and belief. <br /> 0 260 14 Name: HENNINGS BROS DRILLING CO INC <br /> 260 265 8 Person,Firm or Corporation <br /> 1930 LADD RD MODESTO California 95356 <br /> Address City State Zip <br /> electronic signature received 01/09/2026 290813 <br /> Signed: <br /> C-57 Licensed Water Well Contractor Date Signed License Number <br /> DWR Use Only <br /> CSG# State Well Number Site Code Local Well Number <br /> ---- ---- ---- N ---- W <br /> Latitude Deg/Min/Sec Longitude Deg/Min/Sec <br /> APN: _ <br /> Township: Range: _ <br /> Section: Tract: _ <br /> SEQ: am: _ <br /> Attachments <br /> No Attachments <br /> DWR Form 188 rev 10/09/2025 Page 3 of 3 <br />