Laserfiche WebLink
FORM NO. <br />GWS-31 <br />0412005 WELL CONSTRUCTION A TES . REPORT <br />STATE OF COLORADO, OFFICE OF THE SLATE ENGINEER <br />1313 Sherman St, Room 818. Denver, CO 802W <br />Phone - Info (303) 866.3587 Main (303) 866-3581 <br />Fax 303 8663589 ht1p./Avww.waterstate.co.us For Office Use Only <br />1. WELL PERMIT NUMBER: 49458-MH <br />2. WELL OWNER INFORMATION <br />NAME OF WELL OWNER: Exxon Mobil Corporation <br />MAILING ADDRESS: GSC-GP2-224 P. O. Box 2567 <br />CITY: Houston STATE: TEXAS ZIP CODE: 77252 <br />TELEPHONE NUMBER: 281 6546246 <br />3. WELL LOCATION AS DRILLED: 5MW114, SW1/4, Sec. 7 TWp. 5 ? N or ® S, flange 95 ? E or ® W <br />DISTANCES FROM SEC. LINES: 869 ft. from E] N or ® S section line and 166 - ft. from ? E or ® W section line. <br />SUBDIVISION: , LOT , BLOCK , FILING (UNIT) <br />Optional GPS Location: GPS Unit must use the following settings: Format must be UTM, Units Owners Well Designation: EF AW1 <br />must be meters. Datum must be NAD83, Unit must be set to true N, ? Zone 12 or [] Zone 13 Easting: <br />i <br />STREET ADDRESS AT WELL LOCATION:. Northin : <br />GROUND SURFACE ELEVATION 6690 feet DRILLING METHOD Air Rota - Ca in Adva cet <br />DATE COMPLETED 11/15/2010 TOTAL DEPTH 150 feet DEPTH COMPLETED 150 feet <br />5. GEOLOGIC LOG: 6. HOLE DIAM in. From ft To <br />Depth Type I Grain Size Color Water Loc. 7.125 0 144 <br />0-66 O Shale Fill as td bm/bl 5.875 144 150 <br />W142 lluviu asstd bm <br />142-150 it Shale fine- bm/bl 7. PLAIN CASING: <br /> OD (in) Kind Wall Size (in) From (ft) To (ft) <br /> I 4.5 SCH .250 +1 93 <br /> ' 4.5 SC FJ 250 143 150 <br /> <br /> <br /> 20 <br />PERFORATED CASING: Screen Slot Size (in): 0, <br />. <br /> , <br />_ <br />4.5 SCH40FJ .250 93 143 <br /> I <br /> <br /> <br /> 8. FILTER PACK: 9. PACKER PLACEMENT: <br /> Material Silica Type <br /> Size 10-20 <br /> Interval 81-145 Depth <br /> 0. GROUTING RECORD <br /> Material Amount Density Interval Placement <br />Remarks: 6 5/8 Casing Advanced through fill and <br />allyWum and pulled Moon completion 318chip 1 bid 145 150 <br />318chiD 1 the 76 81 <br />Lost returns at 55' 318chi 26 sks 2 76 <br />11. DISINFECTION: T Amt Used <br />12. WELL TEST DATA: Check box if Test Data is submitted on Forth Number GWS 39 Supplemental Well Test. <br />TESTING METHOD Airlift <br />Static Level none ft. Date/ Time measured: 11-15-2010 Production Rate < 1 gpm. <br />Pumping Level ft. DateTme measured Test Length (hrs) <br />Remarks: No measurable water during airlift <br />13. 1 have read the statements made herein and know the contents thereof, and they are true to my knowledge. This document is signed and certified in <br />accordance with Rule 17.4 of the Water Well Construction Rules, 2 CCR 402-2. [The tiling of a document mat contains false statements is a violation of <br />section 37-91-106 f e C.R.S. and is punishable fines u to $5000 and/or revocation of the oontradi license. <br />Company Name: <br />Himes Drilling Company Phone: <br />(970)242-M3 License Number. <br />531 <br />Mailing Addresvigo U. 6. u4 6 and 50, Grand Junction Colorado 81505 <br />Signature. •- Print Name and Title <br />Tim Hlmes Owner Date <br />11/292010 <br />,? Y