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Casings <br /> Wall Outside Screen Slot Size <br /> Casing Depth from Surface <br /> # Feet to Feet Casing Type Material Casings Specificatons Thickness Diameter Tif any Description <br /> Type(inches) (inches) (inches) <br /> 1 0 166 Blank PVC OD:8.625 in.I SDR: 0.332 8.625 <br /> 26 1 Thickness:0.332 <br /> in. <br /> 1 166 206 Screen PVC OD:8.625 in. I SDR: 0.332 1 8.625 1 Saw 0.05 <br /> 26 1 Thickness:0.332 Cut <br /> in. <br /> Annular Material <br /> Depth from <br /> Surface Fill Fill Type Details Filter Pack Size Description <br /> Feet to Feet <br /> 0 102 Bentonite High Solids <br /> 102 206 Filter Pack Other Gravel Pack No 6 <br /> Other Observations: <br /> Borehole Specifications Certification Statement <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 HENNINGS BROS DRILLING CO INC <br /> Feet to Feet <br /> Person,Firm or Corporation <br /> 0 206 14 <br /> 1930 LADD RD MODESTO CA 95356 <br /> Address City State <br /> Signed electronic signature received 04/17/2018 290813 <br /> C-57 Licensed Water Well Contractor Date Signed C-57 License Number <br /> DWR Use Only <br /> CSG# State Well Number Site Code Local Well Number <br /> F1 I 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 />