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185 195 Clay Blue Swelling <br /> 195 200 Gravel Black Very Coarse <br /> 200 212 Clayey Sand Blue Silty <br /> 212 222 Sand Black Fine To Medium <br /> 222 228 Sand Black W/Gravel <br /> E228 234 Clay Blue Sandy <br /> 234 257 Sand Black Coarse <br /> 257 260 Clayey Sand Blue Dense <br /> z <br /> Casings <br /> Casing Depth from Surface Wall Outside Screen Slot Size <br /> # Feet to Feet Casing Type Material Casings Specificatons Thickness Diameter if any Description <br /> (inches) (inches) Type (inches) <br /> 1 0 160 Blank PVC OD:8.625 in.I SDR: 0.41 8.625 <br /> 21 1 Thickness:0.410 <br /> in. <br /> 1 160 240 Screen PVC OD:8.625 in.I SDR: 0.41 8.625 Milled 0.032 <br /> 21 1 Thickness:0.410 Slots <br /> in. <br /> 1 240 260 Blank PVC OD:8.625 in.I SDR: 0.41 8.625 capped end <br /> 21 1 Thickness:0.410 <br /> in <br /> Annular Material <br /> a <br /> Depth from <br /> Surface Fill Fill Type Details Filter Pack Size Description <br /> Feet to Feel <br /> 0 112 Cement 10.3 Sack Mix grout <br /> 112 260 Filter Pack Other Gravel Pack 3/16"x6 peagravel <br /> Other Observations: <br /> r � Borehole Specifications Certification Statement <br /> Depth from I,the undersigned,certify that this report is complete and aecurate to the best of my knMeoge and belief <br /> Surface Borehole Diameter(inches) Name R&M WATER WELL DRILLING&PUMPS INC <br /> Feet to Feet <br /> 0 260 14.5 Person,Firm or Corporation <br /> P O BOX 1329 VALLEY CA 95252 <br /> Address City State Zip <br /> Signed electronic signature received 11/12/2019 1017078 <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 T1 I I I I 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 />