Laserfiche WebLink
FORM NO. <br />GWS-31 <br />04/2005 WELL CONSTRUCTION AND TEST REPORT <br />STATE OF COLORADO, OFFICE OF THE SATE ENGINEER <br />1313 Sherman St, Room 818, Denver, CO 80203 ' <br />Phone - Info (303) 866-3587 Main (303) 8663581 <br />Fax 303 8663589 http://www.water.state.co.tis For Office Use Only <br />1. WELL PERMIT NUMBER: 49459-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: 281654-6246 <br />3. WELL LOCATION AS DRILLED: MN1/4. SWIM, Sec. 7 Twp. 5 ? N or ® S, Range ? E or ® W <br />DISTANCES FROM SEC. LINES: 2359 % from ? N or ® S section line and 1182 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 Owner's Well Designation: EF-V2 <br />must be meters, Datum must be NAD83, Unit must be set to true N, ? Zone 12 or ? Zone 13 Easting: • <br />STREET ADDRESS AT WELL LOCATION: Northin : <br />4. GROUND SURFACE ELEVATION 7157 feet DRILLING METHOD Air Rota <br />DATE COMPLETED 11/3/2010 TOTAL DEPTH 175 feet DEPTH COMPLETED 174 feet <br />5. GEOLOGIC LOG: 6. HOLE DIAM in. From ft To ft <br />Depth Type Grain Size Color Water Loc. 6.5 0 148 <br />0-17§ - <br />Oil Shale bm 6.125 148 175 <br /> <br /> 7. PLAIN CASING: <br /> OD (in) Kind Wall Size (in) From (ft) To (ft) <br /> 4.5 Certal .250 +1 129 <br /> 4.5 Certal .250 169 174 <br /> <br /> <br /> PERFORATED CASING: Screen Slot Size (in):.032 <br /> 4.5 Cectalok- .250 129 169 <br /> <br /> <br /> <br /> 8. FILTER PACK: 9. PACKER PLACEMENT: <br /> Material Silica Type <br /> Size 8-12 <br /> Interval 120-170 Depth <br /> 0. GROUTING RECORD <br /> Material Amount Density Interval Placement <br />Remarks: Opened exploration hole 0'-149' <br />Deepened hole 149'-174' 3/8chip 1.5 bkt 170-174 dumped <br />3/8chia 1 bkt 115-120 dumced <br /> Grout 450 Gal 12# 115-0 pumped <br />11. DISINFECTION: T e Amt. Used <br />12. WELL TEST DATA: Check box if Test Data is submitted on Form Number GWS 39 Supplemental Well Test. <br />TESTING METHOD Airlift <br />Static Level 154 ft. Date/Time measured: 11-4-2010 , Production Rate <1, gpm. <br />Pumping Level ft. Date/Time measured Test Length (hrs) 1.0 <br />Remarks: Minimal production noted during airidting <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 filing of a document that contains false statements is a violation of <br />section 37-911-11080)(e), C.R S., and Is punishable b fines u to $5000 and/or revocation of the contnicti license. <br />Company Name: <br />Himes Drilling Com n Phone: License Number. <br />(970)242-8893 531 <br />Mailing Address. ,990 U. S. 6 and 50, Grand Junction Colorado 81505 <br />Signature: Print Name and Title <br />Tim Himes Owner Date <br />11/292010 <br />6