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WELL LOG WELL DATA <br /> From To Type & Color of Material Water <br /> Loc. Type Dril I ing Spr�ddrer <br /> HOLE DIAMETER-, <br /> 0 40 Soil <br /> 40 400 Sandy 2hale 10 in. from 0 ft. to 40 ft. <br /> 7 in, from 40 ft. to 400 ft. <br /> r Dry Hale in. from ft. to ft. <br /> This hole has' b6en plugsd to <br /> State specifications CASING RECORD- <br /> Plain Casing <br /> Size-, kind—from—ft. to ft. <br /> Size_, kind from ft. to ft. <br /> I 'Size—, kj,nd ; u from ft. to ft. <br /> Per�fo_ra_ted Casing <br /> Size_ , kind ram—ft. to ft. <br /> Size.—, kind—from—ft. to ft. <br /> Size., kind—from fit. to ft. <br /> GROUTING RECORD <br /> Material _ <br /> Intervals <br /> Placement Method <br /> GRAVEL PACK RECORD <br /> Size Interval <br /> TEST DATA <br /> Date-Tested <br /> E <br /> Type of Pump <br /> Length of Test-- - <br /> Sustained Yield(Metered) <br /> Drawdown <br /> WELL DRILLERS STATEMENT <br /> The undersigned, being duly sworn, deposes and <br /> says: he is the driller of the well hereon <br /> described; he has read the statement made hereon; <br /> knows the content thereof. and the same is true <br /> of his own knowledge. <br /> Use additional paper if necessary to complete log. X <br /> xll <br /> State of Colorado, County of . La Plata 1 ss License No. 344 <br /> Subscribed and sworn to before me this 21st day of DgCRM gTo , f9 71 <br /> My Commission expires April 6D 1973 lg <br /> Notary Pub c <br />