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• Well Aband~nt Rep'~R . <br />Permit Number: C-81-013 MR-11 <br /> <br /> Hole Type o! , <br /> Hole Hole Cased Casing Ce.nenV Amount 8 Volume of Intervals where water Method of <br />Hole No. Twp Rng Sec Otr. Sec. Elevation Depth- Ft Diameter Yes/No Diameter Sealant Cement or Sealant was encountered Drilling <br /> <br />Power Drop 33S 67W 29 NE/SE 471 9" Yes 7" Steel <br />-i Type A-B <br />-- To Surtace Unknown Rotary/Air/Foam <br />Power Drop Casing 7" Type A-B 100 gal Na <br />Water Drop 33S 67W 29 NE/SE 353 Yes 7" Steel Type A-B To Surtace Unknown RotarylAir/Foam <br />Water Drop 363 2 7' Pipes 7' Type A-B 100 gal Na Na <br />Ground Hole 33S 67W 29 NE/SE 300 5 5/6" No Na Cuttings To Surface None RotarylAir <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />Signature of Authorized Representative: <br />Title: /` / ~C~ <br />Date: <br />l/ - d <br />Page 1 <br />~; <br />I~/^ <br />