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THIS FD,.M MUST BE SUBMITTED ~ 300 Columbine Bldg., 1845 Sherman Sl. "s ~ UG~Z~ rT <br />WITHIN oD DAYS OF COMPLETION Denver, Colorado 80203 I•; <br />OF THE WORK DESCR18ED HERE ~ yfai(R AESP7~ <br />ON. TYPE OR PRINT IN BLACK WELL COMPLETION AND PUMP' I/NSTALLATION REPORT SZ~E plplEEff <br />INK' L PERMIT NUMBER ~Y~y~' ~~ ~ <br />OWNE~R/~j!'~~ h~ T~~ )~^ ~' / ,i~~/0Ji1~ J! ~ '/. of the /~~~~J~~ ~~ 1'/. of Sec. ~~ , <br />ADDRESS ,/1Y,/. ~ ~~/A~i/~sy UJ L'S/ON C.:d• ,~S I~~~ T.~. 5 R.~ K~ ~ r~ P.M. <br />DATE COMPLETED /`o y~ M ~ P_ H ~s . 19~ HOLE DIAMETER <br />WELL LOG <br /> <br />From <br />To <br />Type and Color of Material Water <br />Loc. <br />o P <br />/ So// <br />~l ~ <br />7 <br />!0 S~i+i~hoGf~ Ls///~ T:ice <br /> d Y c /-- < o f d~¢ /P- <br /> <br /> <br />~• <br />i <br />TOTAL DEPTH ~~~ <br /> Use a dditional pages necessary to complete log. <br />in. from ~ to ~ ft. <br />_~ in. from a ~ to ~ ft. <br />in. from to fl. <br />DRILLING METHOD~~F /° a <br />CASING RECORD: %ainCasing <br />r/ ~" ~ <br />Size 2_ & kind STS' from _L_ to -~~ ft. <br />Size ___ & kind from to <br />Size __ __ & kind from to <br />Perforated Casing/ <br />o~'.~ .:' G ~- <br />Size _ & kind from to <br />Size .__ _ & kind <br />Size ___ & kind <br />from to <br />from to <br />f t. <br />f t. <br />f t. <br />tt. <br />f t. <br />GROUTING RECORD <br />Material ~ on. e ~- of ~ HT <br />Intervals -? .~ o F 5ll r Fs' c c- C.d S iiY~ <br />Placement Method ~ d ii d <br />GRAVEL PACK: Size <br />Interval <br />TEST DATA <br />Date Testeii /f'a d e~sr ~ e- /' /s 1971' <br />Static Water Level Prior to Test ~ ~ _ it. <br />/~ <br />Type of Test Pump l -; f i f ~- d <br />Length of Test --~i h a K h S /~ <br />Sustained Yield fPAese+ed) ~~ ~• / ~~~ __ <br />i <br />Final Pumping Water Level ~•~ _ <br />