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,., a.-GSL//!x ✓..., CasltlgS x �..,�c"`` \`�nc'�\\a l\\�\ 'ry, <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) (inches) <br /> 1 0 4 Conductor or Low Carbon Grade:ASTM A36 0.25 18 CONDUCTOR <br /> Fill Pipe Steel <br /> 2 0 280 Blank PVC OD:8.625 in.i SDR: 0.508 8.625 LINER <br /> 17 1 Thickness:0.508 <br /> in. <br /> 2 280 360 Screen PVC OD:8.625 in.I SDR: 0.508 8.625 Milled 0.035 LINER <br /> 17(Thickness:0.508 Slots <br /> in. <br /> 2 360 380 Blank PVC OD:8.625 in.I SDR: 0.508 8.625 LINER <br /> 17 1 Thickness:0.508 <br /> in. <br /> 2 380 400 Screen PVC OD:8.625 in.i SDR: 0.508 8.625 Milled 0.035 LINER <br /> 17 1 Thickness:0.508 Slots <br /> in. <br /> :... <br /> � \ ar,I�Ilaterlal /' <br /> „, .� wwve.... .., .;, C //,.�//i13i2✓�, 6 //�//rGri// <br /> Depth from <br /> Surface Fill Fill Type Details Filter Pack Size Description <br /> Feet to Feet <br /> 0 202 Bentonite High Solids PUMPED BENTONITE <br /> 202 1 400 Filter Pack Other Gravel Pack BIRDS EYE PEA GRAVEL <br /> Other Observations: <br /> qg' ja' 1*Ce Specific ion ` \\ Certs cafit�rr S at <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 CANEPA AND SONS INC <br /> Feet to Feet <br /> 0 4 24 Person,Firm or Corporation <br /> 4 400 15 14384 CUESTA COURT SONORA CA 95370 <br /> Address City State Zip <br /> Signed electronic signature received 01/05/2022 425749 <br /> C-57 Licensed Water Well Contractor Date Signed C-57 License Number <br /> CSG# State Well Number Site Code Local Well Number <br /> N 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 />