HomeMy WebLinkAbout021-132-056 EHWS24-0061 WELL LOG, DESTRUCT (2)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
Borehole Diameter (inches)
Name W.S. HEITMAN DRILLING & PUMPS
Feet to Feet
Person, Firm or Corporation
623 BUCKINGHAM PLACE CHICO CA 95973
Address City State Zip
Signed electronic signature received 01/10/2025 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 LW
Latitude Deg/Min/Sec Longitude Deg/Min/Sec
TRS:
APN:
Form DWR 188 rev. 12/19/2017 Page 2 of 2