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.. ~: <br />-2- <br />Hole Hole <br />Hole Quarter Depth Diameter Type of Cement or <br />No. Townshi Ran a Section Section Ft. In. Sealant <br />Y5A <br />`~ l~ <br />`~lJc <br />~sa~ <br />~wc <br />~wc~ <br />l 0 5 8~ w ~. l~l w. `f ~ o ~e o.• ~le e ~ <br />3 1 11 11 ~~ d S~ dd <br />D O L to ~ G <br />~ <br />~l3 ~~ {{ ,{ gp z „ <br /> <br /> <br /> 5~1 ~. l 04 { 1 ~. l e `~ Iti 4 5 ~„J~G,. .~{ lv,•.2 <br /> wall ~~R ~ ( i o~ eoll~ se~ ~ <br /> oQQ o F - <br /> <br /> <br /> L <br />Hole Amount and Volume of Intervals Where Water Method of Drilling <br />(core, auger, water <br />No. Cement or Sealant wac FnrnuntaraA fnam_ otr_l <br />.10 ~/z G..Ilok ~1~~;~ <br />.3 $, 3 { 11 <br />i31 Se ~ ' ~ ~{ <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />U~-~ <br />Signature of Autho zed Representative <br />~( (( i <br />h1 ~f ~Q~o `oc~5~ <br />l1-26-0 ~ <br />Date <br />le~ 5 <br />.S <br /> <br />Tits! <br />(Rev. 5/83) <br />Doc. No. 3078 <br />