H. Daily well drilling shift record.pdf

PDF 36 KB Posted

Attached to
Ditch Creek and Ollokot Campground Well Drilling
Solicitation number
AG-04M3-S-09-0050
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H. Daily well drilling shift record

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Text version

USDA Forest Service R6-FS-7400-4 (2/69)

1- R.O. (E)

1- R.O. (OAS)

BID No. .

Casing in hole Ft. 1n. Drilling Done Ft. Remarks:

Last Report

This shift

Total to date

Diam. - inches

Static Water Level

Beginning of shift Driller

End of shift (Sign here)

Casing in hole Ft. 1n. Drilling Done Ft. Remarks:

Last Report

This shift

Total to date

Diam. - inches

Static Water Level

Beginning of shift Driller

End of shift (Sign here)

Casing in hole Ft. 1n. Drilling Done Ft. Remarks:

Last Report

This shift

Total to date

Diam. - inches

Static Water Level

Beginning of shift Driller

End of shift (Sign here)

1- Supervisor (E) within 15 days after completion of well

Distribution by COR:

1- District

Contractor: Furnish 4 legible copies to COR

Last Report

This shift

Ranger Station, Work Center. Campground, ate.)

Start Shift End Shift Date

DRILLING C0.

Last Report

This shift

End Shift DateStart Shift

Total to date

Formation:

Ft.

Last Report

This shift

Start Shift End Shift Date

Total to date

Formation:

Ft.

DAILY WELL DRILLING SHIFT RECORD

1/4 1/4 Section T. R. W.M.

U. S. FOREST SERVICE

REGION 6

WELL LOCATION National Forest

Total to date

Formation:

Ft.

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