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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 t <br /> Surface Borehole Diameter(inches) Name MASELLIS DRILLING INC <br /> Feet to Feet <br /> Person,Firm or Corporation <br /> 119 ALBERS ROAD MODESTO CA <br /> Address City State <br /> Signed electronic signature received 04/23/2024 6686: <br /> C-57 Licensed Water Well Contractor Date Signed C-57 LicensE <br /> DWR Use Only <br /> CSG# 1 State Well Number Site Code Local Well I <br /> N <br /> Latitude Deg/Min/Sec Longitude Deg/Min/.' <br /> TRS: <br /> APN: <br />