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• <br />Sc#lW AR-t2.WAI.M a Mew <br />•is3-Ctt mrtUr QA/QC Form <br />Well Dig <br />- ationjMW-// <br />Date 16 <br />12e. `ld <br />Inspector T. L • tF-5UKJ <br />Page 1 of 5. <br />Piezometers <br />I. Collection and Recording of Lithology Samples <br />A. Handling of core or cuttings samples <br />1) Collected from surface to total depth? Yes No <br />Reason for ? ??? <br />variation: B Ef W SRxtPu+)4 G W? 'M T4IS WELL IS A Is Orpstm, ® <br />w0tcN IfAt Ado LiVor.ocic CAWW Ar F)eSr 75" OF jEFLE ' <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 />fen n?+s?" a?0/iT c? <br />ko a .K+ J+.i +2see? 4.- Itisf W, <br />+1 aid ??p V.- ' 6-1a1- ? - CG-/N l0 <br />3) Core boxes or am le 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 geologist describing <br />cuttings? L + 1V'? sSE?r ?.?k k1 <br />2) Sample log prepared prior to removal of samples from drill <br />site. Yes tr No Reason for variation: <br />t . <br />II. .;-Well'Construction <br />A. Well location <br />1) Well collared at location staked by Cotter representative.? <br />Yes V' No Reason for variation: <br />?Of}0???C, ?u?' ff5 V??M <br />B. Drilling fluids ?,,;T P„? ?„rau? o <br />1) Type (s) of fluid used ands int rval (s) : CO <br />?ET[Acc, <br />too -12,0 W,b? ? W WA 4-M;WA ? <br />146-16s, ar+a ?atni?4' ?9e?tf ?s5ea <br />