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HomeMy WebLinkAbout064-610-040 EHWS22-0048 WELL LOG (2)Casings Casing # Depth from Surface Feet to Feet Casing Type Material Casings Specificatons Wall Wall Thickness Outside Diameter Slot Size if any Description (inches) (inches) T Type (inches) 1 0 72 Blank Low Carbon Grade: ASTM A53 0.188 6.725 Steel 2 2 500 Blank PVC N/A 0.5 4.5 Certa-Lok Liner Annular Material Depth from Surface Feet to Feet Fill Fill Type Details Filter Pack Size Description 0 26 Bentonite Non Hydrated Bentonite 26 1 500 Other Fill See description. No Fill Other Observations: Borehole Specifications Certification Statement Depth from I, the undersigned, certify that this report is complete and accurate to the best of my knowledge and belief Surface Feet to Feet Borehole Diameter (inches) Name W.S. HEITMAN DRILLING & PUMPS Person, Firm or Corporation - 0 26 12 623 BUCKINGHAM PLACE CHICO CA 95973 26 500 6 Address City State Zip Signed electronic signature received 03/27/2024 386577 C-57 Licensed Water Well Contractor Date Signed C-57 License Number DWR Use Only CSG # State Well Number Site Code Local Well Number N W Latitude Deg/Min/Sec Longitude Deg/Min/Sec TRS: APN: Form DWR 188 rev. 12/19/2017 Page 2 of 2