PERMFILE62988

• Permit No: C1981022
• IBM Index Class Name: Permit File
• Doc Date: 12/11/2001
• Doc Name: DRILLHOLE EC-10
• Section_Exhibit Name: EXHIBIT 2.04-E3 Tab F Part 5j
• Media Type: D
• Archive: No

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Smith Drilling Company
•
t.

Client Field Approval
1345 N Road P.O. Box 97 Loma, CO 81524
Phone: [phone] -Fax: [phone] -Cellular: [phone]
Soil Sampling -Rork Coring - Monitor ~ll Constrndion - Lircnsc# 1314
na>!ty n>~tr ~g
Client Namc ~r Jx. , yrt: -y J ,.

Date ~ > t :rte Holek F c _ rr
's r
Rig# ~' <i-. ~ - Shin i : ~.

Run ~ Rods;
Total ` Stick
U Length
Run Amount
Recd Hole
De th Time
Stan Time
End Time
Re 'd
Remarks
Well Materials
~• ~„ , i.,~. ~ i ,- 2" SCH 40 PVC
' ` l ~ ~~ 7.'S~ /: / 0 1-PLUG
~S ~'2•, 7~/_. POINTED PLUG
' / rl `~ ~: 'S i : ? J 5 FT. RISER
` G 5 FT. SCREEN

~~
^S~
/`.'JO
~~ 2U 10 FT. RISER
1 .. ~ is .. /_. ,, :w .! /n ]r /',n / lO FT. SCREEN
/n ~ ~ ~ S /,~ o •. ~ 4" SCH 40 PVC
! /c ~>S , ~ 'Z d J-PLUG
1 ~r POINTED PLUG
i D ~..r J x..75 THREADED CAP
'- ~ ~ 5 = ~ i_~ ~.'y! 5 FT. RISER
!f r . .r ,~ I . /. .:..J l / '., r/',v 5 FT. SCREEN
C ~ w r~ ~ ~ d ~ lU FT. RISER
10 FT. SC N
BILLABLE ITEMS CORE MATERIALS AUGER MATERIALS OTHER WELL MAT.
Mob.-Demob.-Drill Ri Bits CME 1" BIT HEAD UICKRETE
Tool Miles sae HOLLOW BIT HEAD PORTLAND
Mob.-Demob.-Service Truck M'k° 3 I/a"CENTER HEAD 50# SILICA SAND
tool Miles S.N. 1 I/4" PILOT BIT BEM'. PELLETS
HOURS ITEM Reamin Shell CME TEETH ST BENTONITE GEL
Crew Travel sae CME TEETH ST SHORT TR-30 PELLETS
Standby (w/crew) M'~e CONICAL TEETH HOLE PLUG
Standby (no crew) s.N LYNAC SAMPLER D O.T DRUMS
Decontamination Casin Shce SAMPLE SHOE DOLPHIN LOCKS
Drillin see SOIL RETAINERS 8" VAULT
De th End Shift ~ ' M~~e SHELBY TUBES G" ALUM. VAULT
De th Be in Shift ? s.N. ABOVE GRADE V
Total Foota a Today Core Bo.~es
Total Hours Drillin Polymer Mud