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e <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 />~~s <br />~~:~~s <br />~~.~•s <br />c,~,)•sa <br />Asa <br />3 <br />3~l <br />I <br />3Si~ cJ ( S ~ 5 .~ ~.d~~ ~ ~~ P1 P <br />37w~ Blw ( E 36-v <br />37w~~ `6~iJ ~ '77-0 <br />~~A ~ w 6 w ~3~.~ a <br />.(3 ~ ~ w i sw v ~r <br /> <br /> <br /> <br /> <br /> <br /> w <br />i <br />Method of Drilling <br />Hole Amount and Volume of Intervals Where Water (core. auger water <br />No. Cement or Sealant was Encountered (.CPOdI foam. etc.l <br />SAC I 3 - J~GV <br />7WC- ~ a <br />+.x o l R s 3 <br /> 4 <br />3 ~/ W4 v ~/ <br /> <br /> <br /> <br /> <br /> <br /> <br />SiJ~gnatunre of Authorized Representative <br />IZ 6 ~~ <br />Date <br />ds <br />(Rev. 5/83) <br />Doc. No. 3078 <br />