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-2- <br /> <br /> <br />Hole No. <br /> <br />Township <br /> <br />Range <br /> <br />Section <br />Quarter <br />Section <br /> <br />Elevation Hole <br />Depth <br />(Feet) Hole <br />Diameter <br />(Inches) Type of <br />Cement/ <br />Sealant <br /> <br /> ee ttac e e is <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />Method of Drilling <br />Amount and Volume of Intervals where Water (Core, Auger, Water, <br />Hole No. Cement or Sealant was Encountered Foam, etc.) <br />Signature o Authorized Representative Date <br />lrar/Io7 ~/~~Gf/( <br />Title <br />8/93 <br />