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WOODWARD DRILLING CO., INC. <br /> P O BOX 3363 RIO VISTA, CA 94571 C-57 LIC.# 710079 ' <br /> (707) 374 -- 4300 FAX: (707) 374 - 5677 - <br /> OLIENT �j CF_ DATE• <br /> JOBIP O NO GEOLOGIST- <br /> SITE F '[ _ DRILLER 1-1 C. 1' <br /> ADDRESS ' S i � r` f, 'r ��: HELPER: <br /> - ,� l ( <br /> CITY � 1 f F ,^ I HELPER: L a c <br /> DEPTHS OF PROJECT TOTAL DESCRIPTION OF WORK PERFORMED <br /> BORING "' r <br /> f <br /> 2'WELL �r r3f✓YY I G'aJ r �C S Ctv o% <br /> "WELL <br /> U ter-. e), L K J �/ � -� 6 S AA ..v <br /> 6"WELL TWOUSf g <br /> AMBLE f, t <br /> BANDON <br /> REFS <br /> ROUT 2- 1, [� <br /> AL '7 0 �1+� G , <br /> OMPLET1Mr <br /> EPTH TO WATER X 5 SCREEN 010 020 030 100 PVC SIS FILTER SAND 4 -X 5'SCREEN <br /> m <br /> VEL TIME ,� X 10'SCREEN 010 020 030 100 PVC SIS ENTONITE CHIPS "X 10'SCREEN <br /> DRILL HOURS X S BLANK PVC SIS BENTONITE PELLETS "X W BLANK <br /> ONSTRUCTION TIME { X fD BLANK PVC SIS '" BEPOWNTONITE 1"X f0'SCREEN <br /> STANDBY THREADED PLUG PVC SIS r! OLCLAY GROUT "TRHEADED PLUG <br /> FLATBED TRUCK SLIP CAP EA GRAVEL "SUP CAP <br /> PICKUP TRUCK LOCKING CAP PORTLAND CEMENT /� WELL POIN <br /> STEAM CLEANER WELL COVER AST SET CEMENT �C X 5'SCREEN' PVC <br /> S CAN <br /> ROUT PUMP / "X W SCREEN D10 020 030 100 PVC SIS EADY MIX CEMENT X 10'SCREEN PVC <br /> Cm <br /> EXTRA PUMP "X 10'SCREEN 010 020 030 100 PVC Sm HALT PATCH X I'BLANK PVC <br /> FORKLIFT I HOPPER "X W BLANK PVC SIS 1 s PLASTIC SHEETING X 10'BLANK PVC <br /> SUBSISTENCE "X 10 BLANK PVC SIS SAFETY EQUIP 007 <br /> TOM PLUG PVC <br /> SAMPLE TUBES - "THREADED PLUG PVC SIS WOOD PLUGS CAP <br /> IJI—ACC <br /> DROPUNCH "SLIP CAP, IE PIPE / COVER _ <br /> DROPUNCH TIPS "LOCKING CAP GAL STEEL DRUMS DISPOSAL <br /> NTMUOUS SAMPLER 2"WELL COVER ED11MS <br /> KHAMMER EVELOPMENT PUMP T 4" OD 1 MATS <br /> NCRI=TE CORE ETY UPGRADE C• B OTHER PURCWI5ED <br /> DATE <br /> CLIENTIREP SIGNATURE - <br /> J <br />