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~ <br />UPUCATE <br />P. . MPx� <br />� <br />� s^cn^~ m/^ <br />39-, <br />�_5 I <br />�� <br />WATER WELL DRILLERS REPORT <br />(o�,�" ror�ror�rvr�Wa�,Code) <br />-- V ` <br />' ^ <br />SHEET 2� <br />Do Not Fill lu <br />State Well <br />Other Well No..-'___-_ ' <br />_-o.-_'---_----_-'_---- <br />(7) Perforations: <br />Trn, of perforator used L. .... <br />-�-_'-� ���� =' -_'--------'---_'--- '-------'------ ----- -- <br />Perforated.---_--____---ft. to - '_ ------ -------- -ft. Hole sizz__-_'_ of <br />`` ^` " " `^ ° <br />---_-_�~____'-- _----_--_--'-_-_- --_�---_--__-_'_-- ___---_-'_--_.- <br />^. ,, ~ /` � . ,, ^, ,, .^ <br />'----'---`~------ ------�-7�----'--~ ---------------- -~~-------- ---- - <br />F ,, --.__-_'-'--_----~ ,,` ,, "--' � .^ it <br />" ~. " '. or of <br />__-____. <br />.,° is-----'___'-____--° ,^ ,,--_-__.-___----_, <br />_----------- <br />---'-__---_---- <br />� ) <br />Water levels: (9) Well pumping <br />« ��t6«*w���w*�r *t ^� Date of <br />------- <br />- first encountered ... ..... Depth twwater when test <br />o��xme6'_--___-_-____.~--'_�-_'_�* <br />Depth tnwater G.P.88.m:beginning uf <br />before pvrfoa6ng--__'_--'t. Drawdown from standing }ov*l'__--_-- it. <br />Depth *vwater Q.P.M.vtcompletion wf*m�_-------'-_-__-�-�__-_--___-- <br />af ter perforating- -_ft. Drawdown azcompletion nft=`t--.-_'_'-___-___---_~----_--ft. <br />� <br />Note anychange iowater level while drilling� Length n{time <br />��u,6____-'--_-__-'-_-'_-____----'_--�^_ <br />........ Temperature of waxer. <br />- ' <br />Was "- present in 'a ~~ Yes <br />General: <br />-� <br />Was well gravel p^ck*J?'__--'.��.����_-_ Size of cock----_--_�--'-___---�T�ckn*�vf pn,k____'_'-_-_--_-___-' <br />Was ^ surface mxiu`rymv\p�,`66*6�'--.----_-'_ _' -__''-�-���-�-___----'--_----'-_--_'_---. ''-'-_--- <br />��� �y ,t�� e�6 against pollution? [] Y� ����u If y� ���6��������. <br />`�� - <br />Strata sealed-----. � _-_��-------- ------- ---_-__------- __---__--__... .... <br />- <br />� ��c��o9y ( J��w ���|*H� �V� ���J <br />~°^^~^ ^~^^^~~^~~ ~~^~^ �� ^~ ^^ '~~ ' ' �W�/m ."^.w^`1. �.,^ wnv�� <br />`�x c�c���rnumenfwoU? [] Yes I��r�u�:c6vv�y <br />[ l{well abandoned, was it plugged and Ae^ledl---- __--_--_-_'--_-_-__-__--_--_-_--_-__--_-__� <br />DViet6o6nfp6uggiog and ..... ..... -------- ----- ------ ---'_--'---_-_'�------ <br />(1l� L*nmtima � �'/ (12) Time of work: <br />e.1- Work started date---.. TpLeted date__ <br />North Section No. 4 <br />Town3hi Date of this report----;; <br />r-, Now location of well in See- This itiell was drilled under my jurisdiclion and this <br />tion, thus (X) report is trite toMt best of v <br />Distances to section lines from <br />License NdYa' Classification <br />Distance to nearest. known <br />»~� . � <br />