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<br />-2- <br /> <br /> <br />Hole No. <br /> <br />Township <br /> <br />Range <br /> <br />Section <br />Quarter <br />Section <br /> <br />Elevation Hole <br />Depth <br />(Feet) Hole <br />Diameter <br />(inches) Type of <br />Cement/ <br />Sealant <br />OHO`I Jr- ?O f W l / <br />/V? lU? / <br />CoB <br />7-0 <br />A <br />/e <br /> <br /> 41 <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />Amount and Volume of Intervals where Water <br />Hole No. Cement or Sealant was Encountered <br />Method of Drilling <br />(Core, Auger, Water, <br />Foam, etc.) <br />rs?a O -/7?0 <br />GU W <br />Signature of Authorized rTitle <br />Date <br />r <br /> <br />8/93