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ORIGINAL STATE Op CALIFORNIA Do not fila In <br /> THE RESOURCES AGENCY No. 19117 4 <br /> 1L11h DWtRDEPARTMENT OF WATER RESOURCESntent No NATER WELL DRILLERS REPORT State Well No <br /> 8 6-6 9 6 - <br /> [t No or Dnt _ Other Well N,90 <br /> (1) OWNER• N.,.--MAnu e -P 1 m e n (12) WELL LOG- Total d.,gL35-0_ft nepth of completed veld 3 0 it <br /> Addres 23402 S. Corral Ho11ow R d. from ft to £t F---tion (Describe by color character, size or material) <br /> city, _ _racy , Ca 0 - 3 7o -Soil <br /> (2) LO TION OF WELL (gee instrtictlarts) 3 - 15 C 1 a 1 <br /> County a R �!o a q u I n o„mer,Weu Number 15 - <br /> Well Address If different from abs 16 - 29 C1ay <br /> ToSec 29 - 36 Grave 1 ' <br /> Distance from cities,reads,railroads,fences etc Corner o f 36 - 120 C 1 <br /> 120 - 124 Gra <br /> 124 - 16 CIa <br /> 168 -- 170 ave 1 <br /> (3) TYPE OF WORK: 170 A9205 C 1, <br /> Ne- Wein xketerung ❑ 70 06 Gravel <br /> Reconstruction o 206 - 1 <br /> Reconditfomng o - "X925 -226 G r a <br /> Ilorizontal Well ❑ 6 -305 G Fa <br /> Destruction❑ (1)eacribe P- 350 B` Clay <br /> destructionrnRterais <br /> procedures is lbern <br /> (4) PROPOSED :� S.` <br /> Dornestro ] <br /> lrrfgattoni, Cl' <br /> Industrial El <br /> well - <br /> ste� � - <br /> Municip - z <br /> WELL LOCATION SKETCH j :?rhos 6 <br /> (3) EQUyIMIENTr (B)}}}���GRAV ',PACKs 0 (�1 l r <br /> Rotary D] Reverse ❑e� r Size T^4 , <br /> Cablo p Air ❑ �Ds1 to o£bo – <br /> Other ❑ Ruckert 0 PgZked f� – <br /> (7) CASING INST]AA�LLED (�.�°y� (8) PIiRFORA 0tig1 – <br /> Steel❑ PIastic O] Ce�`c tee Typo of pc l q -\I.of screew��From Tq/;:" Dla Gage dr Fr 9 Ta 1 iw <br /> R ft in Wfill If I ft. A <br /> 0 13 V&� 0 <br /> h J\4 <br /> (0) WELL SEAL <br /> Wes surface sanitary seal Provided? Y-b No 0 D Yea, to dwth-as_—f# <br /> Were strata sealed aganut pollution? Yes❑ No 13 Interval tG – <br /> Method of sealin works 18 Completrd_ -- – 19 <br /> (10) WATER LEVELS: WELL DRILLER'S STATEMENT <br /> Depth of first water, if know.. ..... – ft This well rnsu drilled under my Jurisdiction and thE, report is tree to the hest of my <br /> Standing level after well completlknowledge and belief <br /> (11) WELL TESTS: yy SIG�v� <br /> Was wail tort made? Yes ❑ No a If yea, by whom? (wen Driller) <br /> Type of test Pump p Boiler [3Air lift❑ NAME^H E N N I N G S BROS. D R I L L LN-G co. , T N r,, <br /> Depth to water at start of tear N At end of test ft Person,Srm or carpoxatloa) (Typed or printed) <br /> Aadrea• 352a� PELANDALE AVE_ <br /> n+ _ •al/min atter boars Water tempera – <br /> anal}els made? Yes 0 No If yes, by whom? C,ty A10 d E S 0 C A p;9 S 5�_ <br /> electrw los made? Yes [I Me� If yes,attach copy to this report Ucemw No 290813 nate of this repo 6 <br /> DwR 188 (REV 7 Vel IF ADDITIONAL SPACE 15 NEEDED USE NEXT CONSECUTIVELY NUMBERED FORM <br />