Laserfiche WebLink
FORM NO. <br /> <br />GWS-31 <br />04/2005 <br />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) 866.3587 Main (303) 866-3581 <br />Fax 303 866-3589 http:/hYww.water.state.co.us <br />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: 281 654-6246 <br />3. WELL LOCATION AS DRILLED: NW1/4, SW1/4, Sec. 7, Twp. 5 ? N or ® S, Range 95 ? 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 />Owner's Well Designation: EF-V3A <br />Optional GPS Location: GPS Unit must use the following settings: Format must be UTM, Units Fasting: <br />must be meters, Datum must be NAD83, Unit must be set to true N, ? Zone 12 or ? Zone 13 <br />STREET ADDRESS AT WELL LOCATION: Northin : <br />4. 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 />De h Type Grain Size Color Water Loc. 6.25 0 179 <br />0-179 Oil Shale fine bm/blk 155-160 <br /> <br /> 7. PLAIN CASING: <br /> OD (in) Kind Wall Size (in) From (ft) To (ft) <br /> 4.5 Certalo 250 +1 134 <br /> 4.5 Certalok .250 174 179 <br /> <br /> <br /> PERFORATED CASING: Screen Slot Size (in):.032 <br /> 4.5 Certalok .250 134 174 <br /> <br /> <br /> <br /> 8. FILTER PACK: 9. PACKER PLACEMENT: <br /> Material i i Type <br /> size 8-12 <br /> Interval 130-174 Depth <br /> 0. GROUTING RECORD <br /> Material Amount Density Interval Placement <br />Remarks: 3/8chip 1 bkt 174 179 <br />3/8chio 1.5 bkt 123 130 <br /> Grout 450 Gal 12# 0 123 <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 164.5 ft. DateTme measured: 11-5-2010 Production Rate < 1 gpm. <br />Pumping Level ft. Datemme measured Test Length (hrs) <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 $WW and/or revocation of the contracting license. <br />Company Name: <br />Himes Drilling Company Phone: <br />(970)242-8 893 License Number. <br />531 <br />Mailing Addres . 0 U. 6 and 50, Grand Junction Colorado 81505 <br />Signature: < < Print Name and Title <br />Tim Himes Owner Date <br />1129/2010 <br />