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VEZ? l=ea-Motet QA/QC Form <br />?L Well De i nation L(/-9 <br />Date 1 t Z 98 <br />Inspector <br />Page 1 of 5 <br />Piezometers <br />I. Collection and Recording of Lithology Samples <br />A. ::'candling of core or cuttings samples <br />1) Collected from surface to total depth? Yes t' No <br />Reason for <br />variation: <br />2) Samples cleaned of drilling fluids and placed in core boxes <br />or sample bags at time sample is collected? Yes <br />No Reason for variation: <br />UMPL-ffl LILY Y POZOM I- JP rIM +iMesP E'YCESS OJkrea -DR.Jj rM BFF. SAMpLS Puy- /AI . <br />S?LAS-cic BAG 5 <br />3) Core boxes or sample bags clearly marked with hole <br />identification number and depth interval represented by. <br />sample. Yes ? No Reason for variation: <br />B. Description`of cuttings <br />1) -Name of geo ogist describing <br />cuttings? 1. AJLese.r, <br />2) Sample log prepared prior to removal of samples from drill <br />site. -Yes ? No Reason for variation: <br />II. Well Construction <br />A. Well location <br />1) Well collared at location staked by Cotter representative? <br />Yes t? No Reason for variation: <br />B. Drilling fluids <br />1) Type(s) of fluid used and interval(s): <br />X1( 2 bit-r#4 I wFC7reD Lt1A?-rG72 Awi C,c&,v a- s cti <br /> <br />Reason for using drilling fluids other than air or air mist:, <br />:iu o/z Ot-L 'ro r_r cjer' tN6 .AW D S7AOA--42,f 144-fWA-1-