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mwm. <br />ova ' <br />J wELL C:oINmuC' pi1i -ANED TEST REPQRT <br />STATE' OF COLORADO, OFFICE OF THE STATE ENGINEER <br />For otnoe un only <br />RECEIVED <br />OM21 V <br />I <br />1. <br />WET.!_ PO WIT NUMSM 35 7 F -R <br />Z <br />OWNER ?"EP) Willi" A. Rodman <br />Mailing Address 1 'IF' Street <br />City, St. Zip Greeley, CO SO <br />Phone ( <br />3. <br />N.I&LOCAWN A3 DRIUM: NE 114 SE 1 J4, 8m_M_, Twp._.6_ , Range _ w,_ <br />DISTANCES FROM SEC, LINES: <br />,15)0 ft, from ouch Sec. Nne. and 7oc� ft, from � 8am line. OIL <br />SUBDIVISION: LOT BLOCK FILING(UNM <br />STREET ADDRESS AT WELL LOCA now <br />4. <br />AROUND SURFACE ELEVATION it. DRILLING METHOD Standard notary <br />DATE COMPLETED 12-10 -93 _ TOTAL DEPTH -6 ft. DEPTH COMPLETED 36 ft. <br />5. GEOLOGIC LOG: <br />Depth Desodption of Lfatb" (Type, Srse. Color, Wider Lowdol <br />6. HOLE DAM. (hr.) From (ft) TO (ft) <br />$" 0_. -- ..�... <br />�- <br />- 2 edium to jjaLe, gravel with bould <br />6 <br />7. PLAIN CASING <br />;OD �(in IGrtd Wall Size From(ft) Tb(ft) <br />8 St eel 1/4" 1' Above <br />pw- <br />PERF. CASING. Screen Slot jze: <br />s+ PVC 14" 19' <br />97- 36 Blue Shale <br />L FILTER PACK <br />Material Gravel <br />Size " <br />ktterval 19' - T6' <br />L PACKER PLACEMENT: <br />Type <br />Depth <br />11i GROUTING RECORD: <br />Material Amount Density tnti7val Piacemers <br />Cement r 3 cu ft 6 A 12' <br />REMARKS: <br />7 <br />DISINFECTION: H.T.H. Amt Used 6 oos. <br />W9L IM DATA: � Check boor if Test Data Is subMkted on Fomt No. GWS 39 Supplemental Wag Test. <br />TESTING MMOD <br />Static Level ft DateMme measured . Pmduca0n Rate apm. <br />Pumphng ft. Datefrime measured . TOSS kwgih <br />Remarks <br />3. I hwe read the sbs'rn M M* ade heroin and know the oontents thereof, and tiler they are bw to my kwMedge. (Pursuant to 00004 244.1 D4 (13){ <br />CL 114% the =Wng of fuse efebmena heroin cons bdn Perjury In the maond degree and is pra,IshebN as a oboe 1 arhrdweenor,] <br />CONTRACTOR Leah Drilling, IAC. Phone (3-03 j 834 -2868 Lie. No. 21 <br />i Addrm .0. Box Ault,GO 0 <br />NarnelTitle (Please type or print) <br />Edwin D. Lesh, Jr. President <br />f <br />Data <br />12 -16-93 <br />L"` -,- — 1.11' <br />