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<br /> t Ur Adur�gr
<br /> tlr.i_7+.r Iru txf a-.nrl4,eta+ttr0 ii:VIIJ rtv 11-0 wmL tyc/�xnrt, nr atnu rnn t for Iiur flJ-+1 lu Cnr,gtlutu Ya'.y1•ar,q 'r)s� a,rt).• f k�nt, � —
<br /> • , iMIY-.DoNoE FA Ire
<br /> State of l�l;fonu t _. _
<br /> FI4e Original w-,ln UNR -----------
<br /> Well
<br /> - __ r -T
<br /> Well Completion Report -- --- „t
<br /> f f rl,.... ,:,,...,,t.
<br /> >�t�t w� u �
<br /> pace o �q -- �1
<br /> -~ No. xxxxxxx
<br /> Ouror Vvoll Nu L;Aaude - c
<br /> r
<br /> Date VYot1t Ended iw .. ---
<br /> Date
<br /> _
<br /> Date Vhai,Fkwan j_ ',�_ ..._.._. _ .,___ 1
<br /> Local Permit Agiwcy
<br /> PLn„It Ntx11tC --- Pi--Mill Da!o
<br /> Well Owner
<br /> Geolo is Lo
<br /> orientation E Vertiwl O Honzontsl C)AnEjlI- Nwiei -__N � /t�
<br /> (Jr .,,t Fr c d r 1,4andn(j�edross V/r rt) -
<br /> Ct�trq�
<br /> Description State
<br /> Depth from Surface --------'�-
<br /> Foot to FeadWell LocatiOn
<br /> Dd•N.:tit)u ntitbnfll grnrn stt6.ur♦gr_t�1C _.
<br /> AddraS3 •CC1Unfy SFV_.,a• J '��
<br /> City
<br /> �,v r (.t,t;lunn ,hn atc.
<br /> �5" 11..7 filo Seg �
<br /> os r: Lat - ['mac t ON,— --------
<br /> _......._ _....._.,-_.. APN E;uoi,_ — PagA----------- Parcai
<br /> To�nnshiC
<br /> a Location Sketch _ Activit
<br /> –..–_..— ,S4nii•I,r-a::f hu:i7 lAr'."J 1UJril:.'Int 4's!:it t�GY.II�Ii• New INtlII
<br /> 1 !north Q fvtu,bl}ca sort Rl,p.in
<br /> ----r-- - - --- Q Deepen
<br /> 0 Other
<br /> 0 Destroy
<br /> Plannod IJSOS
<br /> N
<br /> w Water S-r;ily
<br /> pDL—Ltsttc QPubllc
<br /> ❑Mrigatwn ©Industrial
<br /> 0 catnoa:c Protecwn
<br /> O Dowalenng
<br /> O Heat Exchange
<br /> O ins*-clicin
<br /> -_--- Q r%Wvtorinq
<br /> Reinachatlon
<br /> Q StHrr�iry
<br /> 0 Test West
<br /> yeti[h
<br /> 0 V.apDr E+ctractx>n
<br /> –_— �–.–_.–�•-- IimYA.:/Jrurt[n:Nr�R:. r+v- ;.s t. 'r i •.+r. O
<br /> other
<br /> tW.rwwt.v.,.t.1W oin.+rf
<br /> ___ --------------- - ---- Water Level and Yield of Completed Well
<br /> Dtlpth lu first walcr_ -- __-- (I det tMIOW Surface)
<br /> Depth to Static.
<br /> Water Level (f'Ne{) D:xla tat6asufBd _
<br /> Total Depth of Bonng Feet Estimated Yie- ' (GPM, TW Type
<br /> Test Length (fiours) Total Drawdown (Feet)
<br /> %tat De h of Com VVI Weli 2�,�_-_ Feel
<br /> Pt P - ------ tAa Iwt lxf rr..riiwtitritl:c o(a woli s k)rxi lern) lob.7
<br /> i'
<br /> Casings Annular Material
<br /> 00 Pm from BonAub NaWtal Wart of tslo. Scrvon Slol StIV Dept11 from
<br /> Surface Dlamewr Type Thickness D.amata Type If Any Surface Fill Description
<br /> ` feel ur Fca,r 1nt1rel Incrws hchosl 'hR-M!) FnJ•1 .+ MOb4
<br /> '�Sr d+ -J L � � r-�- Y •���
<br /> I I
<br /> Attachments Certification Statoment
<br /> G x*Iglc L,xj 1,the unders.grwd,cerllty that 0+15 retx,r,,s ctvnl!r•ia and u curiste to l!,u txwat of my knowledge and belief
<br /> rlarne
<br /> ❑Well Crxtsuuct;url Dta�jrslnl Purvt,,I.��.Caw ul...•
<br /> ❑Gecphysscat Log(s)
<br /> ❑Sat^Nater Chain"i Malyses r" 511.0.
<br /> Suarwd zt,
<br /> ❑011ie,
<br /> �n•.P ken �r In,kNJM d I CR,1(r C•571,.renw.flvMrw 1Vaf C,agNrrr D!,t0:i1 Od C-57 Lilonue Numtwr
<br /> W R IM RF.'U 1'Zrr15 IF ArA)ri IC#4AL VALE 6 to EK*U.Jtir-NE,—Gin4 F t:U,.'•:icy NUMek htU FLri1N
<br />
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