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Depth from Surface <br /> Description <br /> (Feet to Feet) <br /> 471 478 sand and clay <br /> 478 483 hard clay <br /> 483 500 clay/stopped drilling <br /> MW 1F Casings <br /> Wall Outside <br /> Casing Depth from Surface Casing Casings Screen Slot Size if <br /> Material Thickness Diameter Description <br /> # (Feet to Feet) Type Specifications Type any(inches) <br /> (inches) (inches) <br /> 1 0 230 Blank Other Other 0.375 18 blank <br /> Milled <br /> 1 230 310 Other Other Other 0.375 18 Slots 0.06 perforation <br /> 1 310 350 Blank Other Other 0.375 18 blank <br /> 1 350 430 Other Other Other 0.375 18 Milled0.06 perforation <br /> Slots <br /> 1 430 440 Blank Other Other 0.375 18 blank <br /> Annular Material <br /> Depth from Surface <br /> Fill Fill Type Details Filter Pack Size Description <br /> (Feet to Feet) <br /> 0 55 Cement 10.3 Sack Mix <br /> 55 500 Filter Pack Other Gravel Pack #8 x 1/4 <br /> Other Observations: <br /> Borehole Specifications , Certification Statement <br /> Depth from Surface Borehole Diameter I,the undersigned,certify that this report is complete and accurate to the best of my knowledge <br /> (Feet to Feet) (inches) and belief. <br /> 0 500 30 Name: PRIETO ANTHONY J WATER WELL DRILLING INC <br /> Person,Firm or Corporation <br /> 891 SOUTH GOLDEN STATE BLVD SELMA California 93662 <br /> Address City State Zip <br /> electronic signature received 01/13/2026 931959 <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 /> DWR Form 188 rev 10/09/2025 Page 3 of 4 <br />