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Hole <br />Quarter Depth <br />Section Ete Cation (Feet) <br />Hole Type of <br />Diameter Cement/ <br />(inches) Sealant <br />Cgs 2, OEI5oi 4140 <br />9eIA) sJ /Nip 4 <br />96w Om 15v) 4-15o <br />9Bai zq tag /sib , 4461 <br />a <br />SQIJMN <br />Bfortlp <br />Sign <br />dote Na;: <br />Hole No. <br />ur <br />Township.: <br />ga‘\ ;tns LATE iC <br />(2o 5S 8 5 'Ail_ 'Ds <br />MTL2 !OS <br />14n. 5 <br />iML4 IDS <br />Range <br />Amount and Volume of <br />Cement or Sealant <br />Authorized Representative <br />interrvals *here :Water <br />etas Cncxnintered:::. <br />Date <br />tAethod of Drilling <br />(Core Auger, k!fater, <br />Foam, etc.) <br />8/93 <br />rvRe .r/ <br />6 CAT <br />