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Form %420-: <br />• (Seytember 7970) <br />UNITED STATES <br />DEPARThIENT OF TIIE INTERIOR <br /> <br />Township ' Range <br />ZSS Z~ E <br />Section <br />Kasai/e/<~ scc~on r~' r)' <br />BUREAU OF LAND MANAGEMENT District <br />G /oa State <br />G/~a ~ <br />WELL RECORD Co>rnty / <br />Grand <br />1. Job Number 2. Job Name 3. Name of Site <br /> O Or<S Po~n~ WGII Do/~C .Po/.7 f <br />_ <br />4. Site sale ctetl by// ~ <br />/! ~CL/N G°// T WC/~ Date / o <br />~// / /S O <br />5. Driller (na/me) /' Address (include zip coa'e) <br />CO /o~rco% ~///~nq GO L424 yl/. /Z ~~ <br />OO/1 Corns / ~ran~~dgG>/inr/ CO /S <br />6. Type of drilling rig used 7. Dale well started Completed <br />8. 7bpographic seiting (in valley, on hilt, etc.) <br />Si~e a>~S~no/~ro/sc~ io7/~i~ da~~/ <br />9. Altitude of land burface (f!)7SOO Determined by 'a o /h 4' <br />P P <br />10. Total depth (ft befow) <br />/SD <br />Land surface <br />11. Static water level (fl below) <br />7S Top oC casing <br />O"Lend savface <br />O Top of casing <br />. 12. Aquifer(s) and depths <br />Sn~i/~a~ v)~cr a'~ 70 ~c~~ <br />/oiac A9_ vi ~rr a ~ /OS - //.f <br />4 <br />13. Shu[-ia p <br />ressure (flowing we <br />!f, psi) <br />/ <br />/~OY .ry/G4Sr// / <br />G Gr Determined by <br />14. Yield (gfw;) /3 , fter (hrs) ~/~mping ~~ Bailing ~ Flowing <br /> feet after (hrs) discharging at (gpm) <br />15 <br />rawdnwn <br />D <br />. -- .--.-.. <br />/ <br />/ <br />/96T /Y/flJSd/'C C~ feet I after (hrs) I disc},a; ging at (gjrn) <br /> <br />Ib. Quality of water color <br />r <br />l taste <br /> <br />d odor hardness <br /> c <br />>:p sa <br />4 nvn~- <br /> ~ - <br /> Distance LopZ above below land surfs ce •(J't) <br />17. Casing Type f'~/ C. Diam. (in) '~ Weight (/!) Depth (ft).~ I to (f!) J.J <br />r' PV G Type <br />- Diam. (in) <br />-- <br />_ Weight (ft) Depth (/t) to (fQ <br /> // <br />Type 6/o t7C Ian /r~ - <br />-Size <br />18. Per(orntions Spacing Depth (fOTQ to (/:) 7.S <br />.S/c.~ Sa tt/ S-><a fr O~ $ // <br />Gr' dia »7 e7`Ct Depth (BOO to (f ti /20 <br />19. PumpG ~ <br />~...,< os TYGP // <br />Su~.ncrScO~c <br />3/f.fF Capa city (g pm) Power <br />/SGp~rr Z30 Do~~.l__ <br />20, ln(ormetlon obtained from (name) Dalc p p~ <br />~vnyo /aS~o/~d o~/~G/Id Of Ca/•fJ/c LPT ~/Q../ / _t a ZY2 'con cr<,'~ S'~o/pou/'c"d <br />o'/><o/o o~Ces/rlq, ry 'FX4~P/a~rarm 6vi/fNroun~ euc//an~wwrQ~~dJC /nS~I/~c~ <br />S...r/clree~ t,~v've/{t io pu.-,Ip /ere, New e%c><rvcnl SNr/ce boxy G/ec~/ea~ cab/e <br />-----_ .. -7 <br />!/n er''rlYn In O 00/~/ntr. (1 ,.IrLrli~.,u ~ , rrrrn r) <br />Cm dC/ 1" <br />