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<br />• <br />r orm 14ZV-. <br />(September 1970) Township <br /> <br />Z •5s Range <br /> <br />.2'!:? 6 <br />UNITED STATES <br />DEPARTMENT OF TkE INTERIOR Section / <br />//,IX,,v1, <a <br />Scelop '/' 'A <br />BUREAU OF LAND MANAGEMENT District State <br /> 6 J IJD G/?a <br />WELL RECORD County / <br /> <br />1. Job Number 2. Job Name 3. Name of Site <br /> o erex /°o.,*1V We/l Do/rc <br />4. Site selected by Date <br /> <br />.? Gc? ert T ed cl? / <br />Ja / <br />5. Driller (name) <br />G'a 1 -If 0119 Address (include zip code) <br />/Z -/, <br />Dorf Warns G'rcno? Jy?G?iorl Cp /s <br />6. Type of drilling rig used 7. Date well started Completed <br /> <br />10. Total depth (/t below) <br />/SQ <br />a. 1opographie setting fin valley, on bill, etc.)) <br />S/GB O S/YJ 41' 7/4r- <br />.4 // y' <br />_ . <br />9. Attitude of land surface (11) Determined by <br />_ P <br />12--d surface <br />E ]Top of casing <br />12. Aquifer(s) and depths <br />Sr?.r// a? vi?'?r a 70 ?c?7t <br />11. Static water level (ft below) 1rland surface <br />7S E7] Top of casing <br />13. Shut-in pressure (flowing welll, psi) <br />Determined by <br />4 <br />14. Yield (gpm) / after (hrs)? ue-15U-mping U Bailing Flowing <br /> feet after (hrr) discharging at (p, pm) <br />15. Drawdown <br /> <br />1ST if/C4Sd?C feet after (brs) discharging at (gpm) <br />16. Quality of water color <br /> <br />6 taste <br />, <br />d odor hardness <br />w c, _ $o <br />k /10 <br />n t <br /> Distance top2 above F-? below land surface-(/t) <br />17, Casing Type RIV (2- Diam. (ire) ¢ Weight (10 Depth (/t).O to (/t) ! r?? <br />/ Y G Type Diam. ([n) Weight (It) Depth (/t) to (It) <br /> Type 6 /4p/e /e"IrM Size <br />18. Perforations Spacing Depth (Jt)Tp to(/.-) 7S' <br />-4,1 Sst K-/ 1 1 / <br />-S a Cr a ? Gr d a An le Depth (It) 0 to (It) <br /> <br />19. Pump <br />G???? os Type // <br />-511 ,./CrSib/c 3/¢11 Capacity (gpm) Power <br />/S Gpm -- ZOO Ga? ? -- <br />zU. Intormation obtained from (name) JDate <br />__ Lcs <br />21. Remnrka / / <br />?vnt/o/aS?.P// ? a 7/e4el Dlea ilir 070 f/_t Q 0 Y Z 'C011Crc /c sco//?ovrcr? <br />y ¢x'4 ?vi A,Pan d wt // .4.q d /o viq?0 /7o dsP /a s7q C/T, <br />s...?/?A rd z?v'vd/fs iri pa "Jo /Sovae, New C/ecu/Sere/ec bax, C/??/co>/cn?/ie <br />1J/t C/ rove tn' Q V/ /il <br />f ?(iql hfre'Ilyd7.ti errs /r'f'r'I Cr'? <br />i- I