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ORIGINAL STATE OF Gal IFOR\1� DWR USE ONLY — DO NOT KILL It, <br /> File with DWR NVELL COMPLETION REPORT <br /> { STATE WELL NDISTATION NO <br /> P,Igt-J_of r R,f,, toIrl.fr rrt trrlrl /'rlrtl j))r jtf ❑ <br /> Q\tinci's `l ell No " 12 No 729665 <br /> LATITUDE LONGITUDE <br /> D 1t( \1 of k Bet att Ended 77 1 <br /> �Lotal Pe11131t -kcrenc\ ' f ga 61 C� APN,TRS OTHER <br /> Pe:nut \oen r ke PEI mit Date 3 <br /> GEOLOGIC LOG i HELL O�1\LR <br /> ORIENTATION {z:L} V VERTICAL _HORIZONTAL —ANGLE _ISPECIFv] \dlllt'_ r, <br /> DRILLINGcr Z ��'� <br /> METHOD <br /> — FLUID <br /> \Iativt, rlcic{ICtis <br /> DEPTH FROM <br /> SURFACE DESCRIPTIO\ CITY $YATE TIP z <br /> FI 10 Ft Dr u I Ib( lnrrtc Ir«t r'rnll 1I�( (n1,11 c fC 11 LpC� O\ <br /> '� <br /> I I kdchess 4 <br /> Q_Z ti 1 clt\ l <br /> y count" <br /> _lP\ Boob. P 111e 13a1cr l <br /> `I'o%%nsliq) R 111�!e Scchnn <br /> s L ltltlule NORTH <br /> Lon,�rt1u11 <br /> DEG WN SEC DEG hl _ <br /> �� �'` LOCATION SI.£T(II TIN IT) <br /> I j I 7 NORTH <br /> DES-POY,Des, <br /> I s U-0-- F ocad,.ro,, c <br /> 63 1-7 PLa\\k E) LSLti F <br /> Oc��o <br /> a <br /> 88 Min-r Cr f v T V <br /> � w r <br /> ESr v EL_ <br /> + CATHODIC PROTEC-IG I <br /> HE-- EXCH- G= � ! <br /> 1 i 17 1�t? Z' DIFIFCT P_5- <br /> IN,Ec_Vo ' <br /> VAPOR E1<IR..G"I: .. 1 <br /> I i <br /> SPAPG, <br /> SOUTH PEI Fpl,.n0 <br /> lll+nfrnt, in 1Jutrllrt Dwei a "llirllfmrn Nod bliddin-+ OTHER <br /> F[IICO Rlt(n 0C nllrl attrrrll a IrurJr $' rulrrrtu�Irr�l tlrr)nr 1f ISPECI�v <br /> xccs7mi1 PLEASE BEACCCR.tTF 117011PLETL <br /> IN-1TER LEI EL & I IELD OF C011PLLTLI) IN LL L <br /> DEPTH TO FIRST WATER �- L,�(Ft) SELOwl SURFACE <br /> 1 I � <br /> DEPTH OF STATIC.) <br /> ' WATER LEVEL 47' �' (Ft)&DATE MEASURED <br /> ESTIMATED YIELD (GPM) & TEST TYPE <br /> i()F\) IJf ill II ()1 110111\( � � 17th' TEST LENGTH (Hrs) TOTAL DRAk'1D0!1f4l=,1 <br /> ]f)7 11 I)k I'l El f)1 CO\if'i.f CF I1 \II LL —1 _'Frit' ` tilrri not la tcprc„nrafr c of a cN h,rr,- , in 11tid <br /> DEPTH C ASI\G (SI DEPTH I^ 1\\t I Iii tl 11 i i,11k <br /> FROM SURFACE BORE TYPEI—) FROM SURFACE TYPE _ <br /> HOLE <br /> 111A ¢ MATERIAL, INTERNAL GAUGE SLOT SIZE CE 5=_t' FLT=R Pte_ <br /> (Inched a �'�+ �� n: GRADE DIAMETER OR WALL IF ANY HENT TOhI-E PILL LYS=SIZ_ <br /> Ft to Ft o N oV o LL Ilncned THICKNESS (inches) F1 to FI <br /> ' t 0 :?-O 8 7�G- '40 rJ .ry�� t ✓- <br /> r I <br /> i <br /> -k1'TaCI1\IL\TS (z�) CERTIFIC 1TIO\ STaT£SIE\T <br /> 1 the undersigned Certify that this report is complete and accurate to the best of my knowledge and belief <br /> — Geofoglc Log ` <br /> Well Construction Diagram NAME <br /> 7 1 <br /> (PERSON FIRM OR CORPORATION) (TYPED OR PRINTED)— <br /> Geophysical <br /> RINTED)GeophysLcal Log{s} CA 7 <br /> Scdf'Wa,er Chemical Analyses `\ D STATE ZIP <br /> ADDRESS j �-y 1 <br /> Other ` �Jl 7-1 t-0Z <br /> ATTSCId ADDITIONAL INFORMATION IF IT EXISTS Signe pRILLERlApTHDR12E SENTA JIVE DATE SIGNED 57 LICENSE YU•'Ec- <br /> IWH Ititi Ilk 11 , IF ADDITIONAL SPACE IS NEEDED USE NEXT CONSECUTIVELY NUMBERED FORM <br />