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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 m knowledge and <br /> Borehole Diameter g �' p p y g <br /> Surface belief. <br /> (Feet to Feet) (inches) <br /> CONFLUENCE TECHNICAL SERVICES INC <br /> Name: <br /> Person,Firm or Corporation <br /> 68218th Street Rio Linda California 95673 <br /> Address City State Zip <br /> Signed: electronic signature received 05/20/2026 1035255 <br /> C-57 Licensed Water Well Contractor Date Signed License Number <br /> DWR Use Only <br /> CSG# State Well Number Site Code Local Well Number <br /> ---- ---- ---- N ---- ---- ---- W <br /> Latitude Deg/Min/Sec Longitude Deg/Min/Sec <br /> APN: <br /> Township: Range: <br /> Section: ---- Tract: ---- <br /> SEQ. BM: <br /> Attachments <br /> • Figure 2- Monitoring Well Locations west yost site map.pdf-Location Map <br /> DWR Form 188 rev 10/09/2025 Page 2 of 2 <br />