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Casings <br /> Wall Outside Slot Size <br /> Casing Depth from Surface Screen <br /> # Feet to Feet Casing Type Material Casings Specificatons Thickness Diameter Type if any Description <br /> (inches) (inches/s) (inches) <br /> 1 0 152 Blank PVC OD.4.500 in. 1 0.337 4 5 SCH 80 <br /> Thickness:0.337 in. <br /> 1 152 162 Screen PVC OD 4 500 in. 1 0.337 45 Milled 004 SCH 80 <br /> Thickness:0.337 in Slots <br /> 1 162 172 Blank PVC OD:4.500 in. 1 0.337 4.5 SCH 80 <br /> Thickness 0.337 in. <br /> 1 172 182 Screen PVC OD 4.500 in. 1 0 337 4.5 Milled 004 SCH 80 <br /> Thickness:0.337 in Slots <br /> 1 182 185 Blank PVC OD:4 500 in 1 0.337 4 5 SCH 80 <br /> Thickness.0.337 in. <br /> 2 0 194 Blank PVC OD:4.500 in 1 0.337 4 5 SCH 80 <br /> Thickness:0.337 in. <br /> 2 194 204 Screen PVC OD.4.500 in. 1 0.337 4 5 Milled 004 SCH 80 <br /> Thickness:0.337 to Slots <br /> 2 204 214 Blank PVC OD 4.500 in. 1 0.337 4.5 SCH 80 <br /> Thickness:0.337 in. <br /> Annular Material <br /> Depth from <br /> Surface Fill Fill Type Details Filter Pack Size Description <br /> Fee:to Feet <br /> 0 135 Cement Portland Cement/Neat Cement NEAT CEMENT <br /> 135 140 Bentonite High Solids INTERMEDIATE SEAL <br /> 140 165 Filter Pack 8 x 16 GRAVEL ENVELOPE <br /> 165 169 Bentonite High Solids INTERMEDIATE SEAL <br /> 169 184 Filter Pack 8 x 16 GRAVEL ENVELOPE <br /> 184 188 Bentonite High Solids INTERMEDIATE SEAL <br /> 188 226 Filter Pack 8 x 16 GRAVEL ENVELOPE <br /> Other Observations: <br /> Borehole Specifications Certification Statement <br /> Depth from 1.the undersigned.certify that this report is complele and accurate to the best of my knowledge and bel,el <br /> Surface Borehole Diameter(inches) Name WELL INDUSTRIES INC <br /> Fee'to Fee! <br /> Person,Firm or Corporation <br /> 0 190 16 <br /> 3282 HIGHWAY 32 CHICO CA 95973 <br /> 190 226 10.75 <br /> Address City State <br /> Signed electronic signature received 09/11/2018 812678 <br /> C-57 Licensed Water Wed Contractor Date Signed C-57 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 /> TRS: <br /> APN: <br /> Form DWR 188 rev. 12/19/2017 Page 2 of 2 <br />