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Haldoraon 9703238851 p,e <br /> <br />'. ~a~' <br />ttva w~l ~~~+ Jf~ 1~- ~~~ <br />STATE OF COLOAAUO, ~FICE OF THE STATE BJGINI~R For office Use oNV <br />i <br />,. wot ~unr r a ~ y ~Z~e <br />2 0WN6iNAME(3) f~e fder5on ti~ Sea, 5 ~..... <br />MaHtng AOdrxc P 0 . ~q~( /Or 4 <br />City. SL Tp Man Jtr'p~ r.. 8l~1 D~. <br /> Phone { 97a) ' <br />3. WELL LOCA'f10N AS DFit11:D: S f 714 S E tf4, Sec.. Twp.~_ .v ,Range / 0 I.J <br />DISTANCES FROM SEC. WR4: <br />~D TL from o~Sec. tine. artd / 0 5! R from . fine. OR <br />QJBDIVIfitOFt LAT BLOCK FtURtG(UNiT) <br />STAEET ADiDF~S AT WELL LOCATION: <br />~. GADUND SURFACE ElEVAT10tJ CC DARfJNG METHOD ,4. i 14e •!-a rc, <br />DA7E COMPLETED 1- I ~. - 0 4 rOTAL DEPTH f' tit. Dt3:r1+ COMPI~7ED [, o ` tl. <br />5. GEOLOGIC LQG: <br />Dapltt omwip5on of nAmedrJ {type, sim. Cdar, Water tsr~on) $ HOLE DL4M. (n-) Flom (fU To l~ <br />R " ~ O 3. S ' <br />L" 3.5 G!. <br />D - A tirnwn r fa« Cnr f <br /> <br />g - ~ N / <br />~ - hr .. r / _ Z PLAIN CASING <br />~ OD ~ Kind wall She Ftom(h) ToIR) <br />.7 - fi LSI~r" Sfcc/ ./4 P x-1.5 - .5 <br /> .. ~•' Pde .asa ,, r.s I ' <br />.yP'-L/' d.Y ~,~. r/.aJ~srne 1 <br />/~'fe. <br />, <br /> PERF. CASING: Screen Slat v¢~ . 0 3 ~ <br /> <br /> <br /> <br /> <br /> <br /> & RLTER PACK: 9. PACKER PLACEMENT: <br /> Material Ps. ~~t,.! Type <br /> S¢e s/g " <br /> tnaer+rdi 8' f e (. o' Depth <br /> <br /> td GROVIING RECORD: <br /> Horatio! Amount DerlsRy Irtten2l Plaarnern <br />REMARKS: ( - - r <br />iJe~-~~ rnt.. e-rem..-.d _. G.'/r ~.Y/.•.. <br />~ Cencn>I' 1 L..s ~2T1 Q t° g urc <br />,~ <br />T D1SNdFECT10N: Type [/7K -G 57. ARIL. Uczed /off f/~+ u~rd rn a1r. '//. yr oafr.- <br /> WB.L ST DATA: Check t~ it Tat IYata is subndted on Form No. GYVS 34 Sopptemerval weq Test <br />7ESTiN13METHOD A~.-l: Ff. <br />Static IEVe! .~ ?t' R Daacyiitne mee_vued / - r ~ - a4 3:0 d /. p PtoduCUOft Rate ! D gpm. <br />Pttmpirtg laird ~(. O/ $ DMl~Tm1e RI~Stlied 1- 13 - 04 3: 3e P.ql Test k~ltg[h (hrs.) /~a <br />Retnedm re e. <br />3 I hevs and tlm alderner6+ meth heteitt aid ktww tba otnaarro thereoof, e,ta Ora[ the- are haetD ny kooatedae. IPteauenl to Sa~tion 24+104 hall <br />C.aB, the naelhp b ftJn ettletmn6 hwade tataetihrtw ptryury in tlu weerd dpna nd is pvniehaele ss a doss t m'ammeemr.7 <br />CONtRAGTOR . /c~ta t f~i.' /' ~ 1~ T+tc. Phone 9 7o R'Sb - (o SP ~ tJa. No. L18 a{_ <br />7'~ P.O.A.aY !~ r / <br />NaRIe/Titia (Phase type or print) <br />13.%[ !J, k~.'ssnar ~Presr~f'~ S>gr,mure <br />~ ~• ~aos.-y Date <br />/-~.t-D~ <br />