Laserfiche WebLink
= -* <br />FORM NO. <br />GWS-31 <br />04/2005 WELL CONSTRUCTION AND TEST REPORT <br />STATE OF COLORADO, OFFICE OF THE STATE ENGINEER <br />1313 Sherman St, Room 818, Denver, CO 80203" <br />Phone - Info (303) 8663587 Main (303) 8663581 <br />Fax 303 868-3589 h ./Avww.watecstate.co.us 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: 281 654246 <br />3. WELL LOCATION AS DRILLED: NW1/4, SWIM, Sec. Twp. 5 ? N or ® S, Range 95 ? E or ® W <br />DISTANCES FROM SEC. LINES: 2039 R from ? N or ® S section line and 1018 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_ Va <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 7150 feet DRILLING METHOD Air Rot@rv <br />DATE COMPLETED 11/612010 TOTAL DEPTH 175 feet DEPTH COMPLETED 175 feet <br />5. GEOLOGIC LOG: 6. HOLE DIAM in. From ft To ft <br />Depth Type Grain Size Color Water Loc. 6.25 0 175 <br />0-175 Oil Shale fine m/b k 120,160 <br /> <br /> 7. PLAIN CASING: <br /> OD (in) Kind Wall Size (in) From (ft) To (ft) <br /> 4.5 Certalok .250 +1 130 <br /> 4.5 Certalo .250 170 175 <br /> <br /> <br /> PERFORATED CASING: Screen Slot Size (in): <br />032 <br /> . <br />4.5 Certalok .250 130 170 <br /> <br /> <br /> 8. FILTER PACK: 9 <br />PACKER PLACEMENT: <br /> Material Silica . <br />Type <br /> Size 10-20 <br /> Interval 125-170 Depth <br /> 0. GROUTING RECORD <br /> Material Amount Density Interval Placement <br />Remarks: 318chip 1 bkt 170 175 <br />3/8chp 1 bkt 125 120 <br /> Grout 875 Gal 12# 120 0 <br />11. DISINFECTION: T e Amt. Used <br />12. WELLTEST DATA Check box if Test Data is submitted on Form Number GWS 39 Supplemental Well Test. <br />TESTING METHOD Niflift <br />Static Level 166 ft. Datelrime measured: 11-6-2010 Production Rate S 1 gpm. <br />Pumping Level ft. Datefnme measured Test Length (hrs) <br />Remarks: Minimal production measured durin airlift 13. 1 have read the statements made herein and know the contents thereof, and they are true to my knowledge. This doaunent'is signed <br /> 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 t e C.R.S., and is punishable b fines to $5000 and/or revocation of the contracting license. / <br />Company Name: <br />Himes Drillfn Company Phone: <br />(970)242-8893 License Number. <br />531 <br />Mailing Address 0 U. S. 6 and 50, Grand Junction Colorado 81606 <br />Signature: Print Name and Title <br />Tim Himes Owner Date <br />111292010 <br />