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WFQ-26-7z <br /> COLORADO DIVISION OF WATER RESOURCES 31�''��f �• <br /> THIS FORM.VUST BE SUBMITTED 101 Columbine Bldg.,1846 Sherman St. <br /> WITHIN 6Q DAYS OF COMPLETION Denver,Colorado 80203 <br /> )F THE WORK DESCRIBED HERE. <br /> ON.TYPE OR PRINT IN BLACK WELL COMPLETION AND PUMP INSTALLATION REPORT <br /> INK. PERMIT NUMBER aSf Z1 <br /> w <br /> WELL OWNER-," Aj t—!l'/e of the %a Of <br /> ADDRESS I T. R. P.M. <br /> r4CAW 0C,p FA,4. 1?36/7 <br /> DATE COMPLETED rr'w12 , 19?Z. HOLE DIAMETER <br /> WELL LOG —SRI: in.from Q to ft. <br /> Water <br /> From To Type and Color of Material Loc. in.from to h. <br /> in.from to ft. <br /> O /o ToF� salt. <br /> j yF,c,c a� c�.�y CASING RECORD: Plain Casing <br /> s s <br /> Size & kind _from t3 to ft. <br /> Size & kind from to ft. <br /> Rom?j/ ?RQ0'JA) CrJ.A y/ c%P0 Size & kind from to ft. <br /> Perforated Casing <br /> ce a & U Size & kind P—L AS- _from —,IV _to._�_ft. <br /> 1 <br /> Size & kind _____from to ft. <br /> Size & kind from to ft. <br /> GROUTING RECORD <br /> Material Q��4�rJ i g���✓�y <br /> Intervals <br /> Placement Method -S O 0 61."(��� <br /> GRAVEL PACK: Size_ �?& <br /> 1 nterval - <br /> TEST DATA <br /> Date Tested__ 19 <br /> Static Water Level Prior to Test ft, <br /> Type of Test Pump R <br /> Length of Test <br /> Sustained Yield (Metered) <br /> TOTAL DEPTHb <br /> Use additional pages necessary to complete log. Final Pumping Water Level a <br />