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<br /> <br /> <br />Haldorson <br />97D3236851 p.7 <br />rnM xo. Wes. ~. Q*j AND lE.ST R~OFtT <br />~a•.. ~ STATE OF l"ALORADO, OFACE OF THE STATE tJ7JCala~A Por otrKO rise enN <br /> 'U~ <br />z ~ ~ Ham rlson o~,d Sons Soc. <br />ary,~~,Mon ~~ I~io <br /> Plto-u 191) 2.t3- ~ G <br />a vvetl_ ~ocnnold AsDRII»: 56 i~a tJE i~4, sec 2r~k Twp. 49 --~,-,_. ~+~ 1 O tn/ <br />asrANC~ FROtt sl:c. I~ <br />..L~_ R trt,m R.TN sea (rose and 3D R irony E R 5T sac fns. t7R <br />su73omaota: _ i~oCK pu~N~M <br />STREET ADDREB3 A7 tlll:tl. t.OC.ATt~I: <br />4. GROUND SUitFACE BEVATI~1 R OR0.7.1PIG METHOD A'i ~Ce farr7 <br />DATE COtAP1.EI>:D - a Z - 0 .TOTAL DEPTH S R DEPTH COMP1 ET13) ~ R <br />i GEOtOA1C i!DG: <br />lkpar Dnaiptieo d 111eYiiet Ir)Ipa SaR Celn. WeA~ lsea>ton) B HOt1 D4W. (m.) i'mrrt (Iq 70 (rt) <br />8 " 8. $ ~ <br />~.. - S~r- `5 ,, <br />'li - 3 6~e...... w [o <br />, ao: L <br />ff <br />- a a 7. PtA~i CASING <br /> OD (e~) 1GI~d WaW SIB FrOrt'(R) Ta(7Q <br />_ <br />Sa -,~ owe ,..1- sand- ~ - (.+~" steel ~1PIf t/-S - •S' <br />s. _ <br />~_ PvC ,~,so -hf.S <br /> <br />- G <br /> _ <br />PERF. CASING: Screen Sbt Stae: . 6 3 6 <br /> <br /> <br /> <br /> <br /> <br /> a FlLTER PACK: S PACt~R PIACFJ~7tafT: <br /> M~erial Pea . ~i wval Type <br /> 3P.8 3/g' <br /> ~' Depot <br /> <br /> i0. GROUTING RECORD: <br /> Malarial Amount De+-~f' intern! Placernmrf <br /> <br />Cn Geu.L- Lres1 ..~... Y (lv <br />~ <br />i D1SMF'ECT10N: Amt. Used <br /> 3fi~1 ~$ ~Td: (xtedc ltmt if Test Data is sututo'tted ~ Form Na GWS ~ Supplernerrtai We11 Test. <br />Stile level R DaQe/Time te~staed 1 -1 ~ - 0 4 ice: ~ d . Protluction Rate ' ~ qDm. <br />~ a DeiElTbee meastaed ~ `.d ~ - o y i : o o .Test length (tns) 3(C~ <br />!t3 i h.re nedthe mWe hmh~ aad mow Uw ~ awaot..ea ttu~wy «. tns ao Ri' rnaeeu~.1~~ to sewn.244tM l+e9t <br />GRS, the ~ dNa slWsnb haub~ eomt>mbe oe9ury is fr aeoond ~~ eed is PeniduWe s a dais / 0<-7 <br />~~NtRACTOR~/danf~ n~,Y/,•„~ ~P~.y~ .Znc. Pttate(97a1 sts(~-GS83 t.icna. <br />NerrglTltie (Pleas ygre tx ~} <br />- Ih ~ ~s-.tv C~P~s,~Ce.~t <br />~- /J. ,~a.~-~, Date <br />i-aa-o~ <br />