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WELL QA/QC FORM <br /> <br />Well Designation /VAI- g <br />Date 12--?- <br />Inspector 7-. GE?? <br />Page 2 of 6 <br />2) Nominal hole size <br />Reason for variation from 8 inch nomina <br />ore size <br />3) Drilled depth of hole /2-0 <br />Reason for variation from target specified by Cotter engineer or <br />geologist W,,gx/C <br />C. Geophysical logging of bore hole: <br />1) Was hole conditioned prior to geophysical <br />Type of fluid used to condition hole? <br />2) Name of Cotter geologist or engineer who witnessed logging <br />operation <br />4) Geophysical 'log header sheets. <br />a) Title block, hole data, and equipment data information <br />entered on header sheet or on digital data record? <br />Yes No <br />5) Probe depth of Hole? Reason for variation between <br />drilled depth and probe depth <br />i <br />logging? Yes No <br />A-3