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2011-01-31_REVISION - M1980047
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2011-01-31_REVISION - M1980047
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Entry Properties
Last modified
11/20/2020 2:01:56 PM
Creation date
2/7/2011 8:26:24 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1980047
IBM Index Class Name
REVISION
Doc Date
1/31/2011
Doc Name
Copies of the GWS-31 forms (TR-13)
From
ExxonMobil
To
DRMS
Type & Sequence
TR13
Email Name
THM
Media Type
D
Archive
No
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WELL CONSTRUCTION AND TEST REPORT <br />FORM NO. <br />GWS-31 STATE OF COLORADO, OFFICE OF THE STATE ENGINEER <br />04/2005 1313 Sherman St.. Room 818, Denver, CO 80203 <br /> Phone - Info (303) 8663587 Main (303) 866-3581 <br /> Fax 303 8663589 http./Avww.water.stat9.oo.us <br />1. WELL PERMIT NUMBER: 49459-MH <br />2. WELL OWNER INFORMATION <br />NAME OF WELL OWNER: E)ocon Mobil Corporation <br />MAILING ADDRESS: GSC-GP2-224 P. O. Box 2567 <br />CITY: Houston STATE: TEXAS ZIP CODE: 77252 <br />TELEPHONE NUMBER: (281) 654-6246 <br />For <br />3. WELL LOCATION AS DRILLED: NW1/4, SW114, Sec. 7, Twp. 5 ? N or ® S, Range 25 ? E or [@ W <br />DISTANCES FROM SEC. LINES: 2182 ft. from ? N or ® S section line and 1090 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: F-V3A <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 />. GROUND SURFACE ELEVATION 7157 feet DRILLING METHOD Air Rota <br />DATE COMPLETED 11/5/2010 TOTAL DEPTH 179 feet DEPTH COMPLETED 179 feet <br />5. GEOLOGIC LOG: S. HOLE DIAM In. From ft To ft <br />Depth Two Grain Size Color Water Loc. 6.25 0 179 <br />0-179 Oil Shale fine bm/bik 155-160 <br />7. PLAIN CASING: <br />OD (in) Kind Wall Size (in) From (ft) To (ft) <br />4.5 C alo .250 +1 134 <br />4.5 Ce alok .250 174 179 <br />PERFORATED CASING: Screen Slot Size (in):,032 <br />4.5 Certalok .250 134 174 <br /> 8. FILTER PACK: 9. PACKER PLACEMENT: <br /> Material Silica Type <br /> size 8-12 <br /> Interval 130-174 Depth <br /> 0. GROUTING RECORD <br /> Material Amount Density Interval Placement <br />Remarks: 3/8chio 1 bkt 174 179 <br />3/8chio 1.5 bkt 123 130 <br /> Grout 450 Gal 12# 0 123 <br />1. DISINFECTION: <br />TESTING METHOD Ai <br />is submitted on <br />Well Test. <br />Static Level 164.5 ft. Date/Time measured: 11-5-2010 Production Rate < 1 gpm. <br />Pumping Level ft. Datemme measured Test Length (hrz) <br />Remarks: Minimal production 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 filing of a document that contains false statements is a violation of <br />section 37-91-108 1 e C.R.S. and is punishable b fines u to $5000 and/or revocation of the contra license. <br />Company Name: Phone: License Number. <br />Himes_Drilling Company (970)242-8893 531 <br />Mailin Addres 0 U. 6 and 50, Grand Junction Colorado 81505 <br />Signature: Ile Print Name and Title Date <br />01 <br />Tim Himes Owner 11/292010
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