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-2- <br /> <br /> <br />Hole No. <br /> <br />Township <br /> <br />Range <br /> <br />Section <br />Quarter <br />Section <br /> <br />Elevation Hole <br />Depth <br />(Feet) Hole <br />Diameter <br />(Inches) Type of <br />Cemenf/ <br />Sealant <br />VVtNCK~.- StJ Q/v/ (0 SciNE~U ~s~r.b 8oS ^~6 Pti~ <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />Hole No. <br />Amount and Volume of <br />Cement or Sealant <br />Intervals where Water <br />was Encountered Method of Drilling <br />(Core, Auger, Water, <br />Foam, etc.) <br />ad~JOK ~- ~Sn Cu. 7-• r4vG . 6zco' f/e~-,~mie you,"I <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />Signature of Authorized Representative Date <br />Gea/aG,s}~,C /rrQn/hPr~~l <br />Title ~-~ <br />5193 <br />