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Signed: electronic signature received 10/06/2025 668622 <br /> C-57 Licensed Water Well Contractor Date Signed License Number <br /> CSG# State Well Number Site Code Local Well Number <br /> 37 51 9.60 N -121 18 19.30 W <br /> Latitude Deg/Min/Sec Longitude Deg/Min/Sec <br /> TRS: <br /> APN: <br /> No Attachments <br /> DWR Form 188 rev 10/06/2025 Page 3 of 3 <br />