PERMFILE139829

• Permit No: C1981022
• IBM Index Class Name: Permit File
• Doc Date: 12/11/2001
• Doc Name: DRILLHOLE EC-9
• Section_Exhibit Name: EXHIBIT 2.04-E3 Tab F Part 5i
• Media Type: D
• Archive: No

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Smith Drilling Company
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1345 N Road P.O. Box 97 Loma, CO 81524
Phone: [phone] -Fax: [phone] -Cellular: [phone]
Soil Sampling -Rock Coring - Monitor ill Construction - Liccns:# 1314
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Rig# ,s ~ Shin u'~.i
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Run # Rods;
Total ' Stick
U Length
Run Amoun[
Recd Hole
De th Time
Start Time
End Time
Re 'd
Remarks
Well Materials
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5 FT. RISER
Z Cc+ /i.:•r y- id' %; 5 FT. SCREEN
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10 FT. SCREEN

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r 4" SCH 10 PVC

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BILLABLE ITEMS CORE MATERIALS AUGER MATERIALS OTHER WELL MAT.
Mob.-Demob.-Dell Ri Bits CME a" BIT HEAD UICKRETE
Toul M+In sae HOLLOW BIT HEAD PORTLAND
Mob.-Demob.-Service Truck Mike 3 I/~"CENTER HEAD 50# SILICA SAND
Tool Miles s.N. ; I/J" PILOT BIT BEM. PELLETS
HOURS ITEM Realnin Shell CME TEETH ST BENTONITE GEL
Crew Travel size CME TEETH ST SHORT TR-30 PELLETS
Standby (w/crew) Make CONICAL TEETH HOLE PLUG
Standby (no crew) s.u. LYNAC SAMPLER D O.T DRUMS
Decontamination Casin Shce SAMPLE SHOE DOLPHIN LOCKS
Dnllilt $1Zd SOIL RETAINERS 8" VAULT
De th End Shift u~t.e SHELBY TUBES 6" ALUM. VAULT
De th Be in Shift •' r s N ABOVE GRADE V
Total Foota a Today ~ Core Bogies
Total Hours Dnllin Pohmer Mud
Client Field Approval: