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♦11.WELL LOG <br />Depth completed we 11:^ <<=>0^ feet.Total Depth Cg feet. <br />Describe by COLOR, CHARACTER, SIZE OF MATERIAL. AND STRUCTURE:FORMATION: <br />DescriptionDescriptionFt.From Ft.From Ft.ToToFt. <br /> O <br />o <br />'3 <br /> <br /> <7<«=> <br /> //^> <br /><)3.. I ic>i -a. i <br /> <br /> / tT <br />/ (o'j ) • <br /> zi < <br /> S» ' -T- <br />Si"1- <br />o A, a 2>c,3.^/0 <br />Name:A <br />Signed;'Date: X. <br />PLEASE PROVIDE PLOT PLAN ON REVERSE SIDE. <br />EH203-500-12/71 <br />-> f-' ., I j v <br />WELL DRILLER'S STATEMENT: <br />This well was drilled under my jurisdiction, and this report is true to the best of my <br />knowledge and belief. <br />Person, Firm or Corporation <br />Address;A~*—aA <br /> <br /> Q.a. cSle^-y' <br />Well Driller <br />License Number: