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Casings <br /> Casing Depth from SurfWall Outside Slot Size <br /> ace Screen <br /> # Feel to Fee' Casing Type Material Casings Speciticatons Thickness Diameter Te if any Description <br /> Type(inches) (inches) (inches) <br /> 1 0 138 Blank PVC OD.4 500 in 1 0 337 4 5 SCH 80 <br /> Thickness.0 337 in. <br /> 1 138 178 Screen PVC OD:4 500 in 1 0 337 45 Milled 004 <br /> Thickness:0.337 in Slots <br /> 1 178 183 Blank PVC OD 4 500 in 1 0 337 4.5 <br /> Thickness:0.337 in. <br /> 2 0 192 Blank PVC OD:4.500 in 1 0.337 4.5 <br /> Thickness:0.337 in <br /> 2 192 212 Screen PVC OD:4 500 in 1 0 337 4 5 Milled 004 SCH 80 <br /> Thickness 0.337 in. Slots <br /> 2 212 222 1 Blank PVC OD.4 500 in 14-5 <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 /> 0 130 Cement Portland Cement/Neat Cement ANNULAR CEMENT SEAL <br /> 130 134 Other Fill See description FINE SAND TRANSITION SEAL <br /> 134 158 Filter Pack 8x 16 GRAVEL ENVELOPE <br /> 158 162 Bentonite High Solids INTERMEDIATE SEAL <br /> 162 182 Filter Pack 8 x 16 GRAVEL ENVELOPE <br /> 182 187 Bentonite High Solids INTERMEDIATE SEAL <br /> 187 228 Filter Pack 8 x 16 GRAVEL ENVELOPE <br /> 228 232 Bentonite High Solids INTERMEDIATE SEAL <br /> 232 246 Other Fill See description NATIVE FILL <br /> Other Observations: <br /> Borehole Specifications Certification Statement <br /> Depth from 1,the undersgned certify that this report!s compiete and accurate to the nest of my knowledge and belief <br /> Surface Borehole Diameter(inches) Name WELL INDUSTRIES INC <br /> Feet to Feet <br /> Person.Firm or Corporation <br /> 0 187 16 <br /> 187 232 10.75 3282 HIGHWAY 32 CHICO CA 95973 <br /> Address City Stale <br /> 232 246 7.875 <br /> Signed electronic signature received 09/11/2018 812678 <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 /> I I I N � F I I I I 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 />