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~~~ I , , -~ RUG 0 95 <br />~ ~ORADO OIViS10t3 O~ VdATER RE~RCES <br />`ri^ ro11M A1US'f eC SOaMI71ED 1319 Sllennan Streol - Room 81st <br />Wt TIfIN 80 DwVS OF COMPI.E TION DBrIVBf~ Colorado tw209 <br />Of TItE WORK DESCRIBED HERE• <br />oN. 1vPE on PnINr IN BLACK WELL COMPLETION AND PUMP INSTALLATION REPORT <br />INK' PfiRMITNUMBER~33g3 `i-I <br /> <br />-Jr , <br />722 No .001 P.04 <br />WGI L OWNER llnttlro P:nunta~n l~olr! coml7nny ~I~. til <br />___~ : Of llie __.._ . <br />~ Mtlnm,~~-Aax-0393"- 7l <br />ADDRESS 1i0U9COne TdX6ti 772SI-t99a pp T• 97 ' _, R. .. <br />DA1F. (:(1MPt.ETEb"AuptUAC4I'r '1 'L` , la~ HOLE DIAMETER <br />3Q <br />_. __. '/. of Sec... , <br />.r _ 6th <br />I <br />_ 1 Z ~. {n, from {1 to _~.._._ Il. <br />6~ ~ I (11'1 <br />in. hom -_ w _-- h. <br />P,A <br />in. from ....... .. fn ... _ II, <br />DRILLING METHOD._coC1vY'y .._____ <br />CASING RECORD. Plsin ~uinp <br />6~5/A" ~teet -1 3 <br />Si e~ & kind .~ __ _.~ (rorn ._.___.... to _...~: f r <br />r ~ <br />Size &kindt_Y~_.~.from~(,~ to ft <br />Size ~_..__.. & kind from __.., to f1 <br />Perlonted Cnlnp <br />Size 4" & kindt V(. .from ~'~ <br />Siza & kind __...- from __ <br />Siza & kind _ .. ._. __._ Iro1n <br />to you it <br />to __~ 1t ~ <br />to ~...._.~ ft <br />GROUTING RECORD <br />Material Cei119nt <br />~~to 0• <br />Intervals .~.rL-~.. -. ._ <br />i7nu nq <br />Placement Method _,_~ ~ } f' ~+_~'..C_- <br />GRAVEL PACK: Size ~~.-. ~~, n_~?'; e < <7 <br />Interval SOP ~ `~~.._...... <br />TEST DATA <br />Gate Tested .~-. <br />Static Water Level Prior to Tegt <br />Type of Test Pump _w <br />Length of Test ~.. <br />Sustained Yield (Metered) _...... <br />Final Pumping Water Level <br />___.~._._ , S9._ <br />