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~~ 1 I Ihte <br />Test No. I Test No. 1 <br />Tbt Type I i Run Np. I <br />I Too Deem I D5T Type <br />ease Dena I Tep Deem I I <br />I Fanusm sass Ikpm I I <br />Max Qaa rare Fomnlion ~ <br />i Waler % I I Wx W 2I! 1 1 I <br />OJ Mlounl I I Fa,+d Type I i <br />Gas Mount I Wi1N K 1 <br />.Test Guntim V I Gas ,4rlwm I I <br />wt sul Re I W Mount I <br />Final $m Pr« I I wt Sbl Pres I <br />' Fbn Preswre , Feral Sut R« <br />Ma.. al rate I Teri Malian I I <br />PlupalnD Reco rd -The oluoainD method ism 6e desrnLM on Fprtn 70 and athdw~ nerem. <br />Rerllaras <br />SAMPLE PROCESSING FEE CALCULATION 'Paymentmust accompanythis form. <br />Metres of bagged samples x S .60 = S (A) Fees for ddll core will be invoiced <br />Metres of washed, dried, at the time of delivery <br />vialedsamples xS.4o= S (B) <br />Total (A)+(B) +7•/.GST = S <br />Ch lie for sam le rocessin fee Is a ableto "OII Gas and Salt Resources Trust" <br />me undeniple0 cerafi« Wt me idommuan prnidetl Heron u mmgete and aavrate and mat nesne Has aumalry b Cmd Ne Weraror. <br />5'9^a:ure Name <br />Note t: The well name shall be that name which appears on Form 2 and shall not be changed withotd appm~ral by the Minister. <br />Note 2: This forth is m be forwarded to Use Minisay vrimin sixty tlays aSU the end of Dodrq, drilling, deepening, workpver, stimuWt{on, <br />plug-back or recasing. <br />For DeW Rnenl Uu <br />d <br />