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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1345 N Road P.O. Box 97 Loma, CO 81524
Phone: [phone] -Fax: [phone] - Celltilar: [phone]
Soil Sampling -Rock Coring - Monitor ~ll ConstJUdion - Litcruc# 1314
na>;ty nrir[ rAg
Client Namc nr ~ . ~ Yh:,,:_., r J, „
Date u('~ ~`t' Hole# f .' - t~:

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Property ~ i.. _ L'~.~,. (+ /L'I'~ t
Rig# ~ w, ~ . ~ ' Shift

Run # Rods;
Total ' Stick
U Length
Run Amount
Recd Hole
De th Time
Start Time
End Time
Re 'd
Remarks
Well Materials
s t : -- s s' s'~,u 7: 3 ~ ~' z" scH ao Pvc
', ~ ~6• /S ~ 3 y 1-PLUG
(. p n„ '/ r %.~ 33 POINTED PLUG
I '' ~ /v . / ~ //~: i - •: ,/~ 5 FT. RISER
~
// ~
"v 5 FC. SCREEN
~ ~ /' ~ ~ ? S /?:~.,, /2~'" IOFT.RISER
S' ~ S' ., ~)v /. ~~ 2 t t 10 FT. SCREEN ,
1" SCH 40 PVC
/~/: ~ // . •: ,P ' ~~ ,~' J-PLUG

~'~' /
. ~9 POINTED PLUG
THREADED CAP
5 FT. RISER
5 FT. SCREEN
IU FT. RISE
10 FT. SCRE>;IJ t
BILLABLE ITEMS CORE MATERIALS AUGER MATERIALS OTHER WELL MAT.
Mob.-Demob.-Dell Ri Bits CME 1" BIT HEAD UICKRETE
Total Milo sae HOLLOW BIT HEAD PORTLAND
Mob.-Demob.-Service Truck ^t~e 3 I/~"CENTER HEAD SO# SILICA SANi~
tool Milo ~ s.u .{ I/J" PILOT BIT BENT. PELLETS
HOURS ITEM Reamin Shell CME TEETH ST BENTONITE GEL
Crew Travel size CME TEETH ST SHORT TR-30 PELLETS
Standby (w/crew) M'~e CONICAL TEETH HOLE PLUG
Standby (no crew) s ~ LYNAC SAMPLER D.O.T DRUMS
Decontamination Casin Shce SAMPLE SHOE DOLPHIN LOCKS
Drillin sae SOIL RETAINERS 8" VAULT
De th End Shift i " ^t~t:e SI-(ELBY NBES 6" ALUM.VAULT
De th Be in Shift -. ~ s.N. ABOVE GRADE V
Total Foota a Today '/ Core Bo~cs
Total Hours Drillin Polymer Mud .
t
f
,.
Client Field Approval: