Nl;1 U ILLIG LT.SITE 20, COMP. 23, R.R. 3 SALMON ARM, B.C. VIE 4M3

TELEPHONE 832 -3264 MOBILE H497066

DaTe - Telephone -

Owner's Name

Address , V.W, "

Location , Hole No. ,

Total Depth -

l. Casing Size , Type ,

2. Casing Size , Type

- set From ,

, seT From

, To

, To

1. Screen .

2. Screen

Set .

Pump Tested .

Recommended Pumping Rate ,

STaTic Water Level "

Drilling

Casing -

Screen(s)

Drive Shoe

K-Packer

Developing

Other

ToTal Cost of Well ,

AmounT Paid .

Balance

Owner's SignaTUre

, Lengfh , , SloT

, Length , SIof ,

From , , To -

GPM* Draw Down ,

Recommended Pump set af . ft.

$

$.

$

$ -

$ -

$.

$,

$

$

$/

$5.-

McHARG'DRlLLlNG LTD.

Per

Terms: Cash. 2% per month or 24% per annum charged on overdue accounts.*ESTIMATE ONLY - For accuracy, a pump test is required. /

WATER WELL RECORDMINISTRY OF ENVIRONMENT AND PARKS, WATER MANAGEMENT BRANCH

LEGAL DESCRiPTION LOT

DESCRiPTivE LOCA T ! ON .SEC TP R DL LAND D ~ TRICT

owNERS NAME 1 - il ,s AD DR E S S ~ ., -1

DRILLEH"3 NAME AD Fl E S 5 DATE COMPLETED NAT. TOPO SHEET NOEL EVAT l ON ESTlMATED

DEPTH OF SU RVE Y ED CASINGDIAM L E N €3 T +4

PRODUCTION TEST SUMMARYI!

FMETHOD OFCONsTRUCnON ' ,CASING DIAM , LENGTH, DATE

SCREEN LOCATMN,- SCREEN Ci SIZE LENGTH T Y 7 L TEST BY ?

BAIL TEST l PUMP TEST !DURATION OF TEST.,SANITARY SEAL YES NOS SCREEN siZE L. F N GT H T Y P E RATE 1 : W

HAWDOWN ,PERFORATED CASING ~ LENGTH, PERFORATIONS FROM TO WATER LEVEL AT COMPLETION OF TEST ,

AVAILABLE DHAWDOWN SPECWFWC CAFACWTY ,GRAVEL PACK ~ LENGTH, , Dl A M SiZE GRAN/EL,ETC PERMEABILITY - STORAGE COEFF -DISTANCE TO WATER EESTIMATEU WATERLEVEL TRANSMXSSWITY

ESTIMATED WELL YIELD ~F R OM CJMEASURED ELEVATKON. ARTESAN PRESSURE,RECOMMENDEDPUMWNGFMTE

DATE OF WATEP LEVEL MEASUREMENT ,WATER USE RECOMMENDED PUMP SETTWG 7

CH E M ! S T R Y L l T H O LO G Y

F RO TO DE5CRI PTl ONT E S T 8 Y A T E .TOTAL DISSOLVED SOLIDS mg/1 TEMPERATURE, QC p H , SiLICA (SBOZ) rn Q / 1

pmhos /cmCONDUCTANCE AT z5*c TOTAL wRoN(Fe) mgH TOTAL HARDNESS(COCO ~ ,, m q/l

TOTAL ALKALlNrrY(cco,) mg/l ?HEN. AL7<ALlNITY(C0 C03) ,mq/l MANGANESE(Mn) mq/ l

COLOUR 0 D OU R T UR B I D ! T Y

A N l ON S mg/l 8 p FT} C AT ? 0 N S mg / 1 e p m

CARBONATE (CO,) - - ~ - CALClUM(cC) 1 +

BICARBONATE (HCO,) * .!

-

SULPHATE iso,) - + - +MAGNESIUM(Mq) , , ,,,,HK

SODIUM (NO)CHLORIDE (Cl)

7 POTASSIUM (K) l- l

J

+

1 -NOB - NO, (NITROGEN) ,

0 TKN. (NITROGEN)

PHOSPHORUS (P)-

!7 IRON (DISSOLVED)., !

}

,J 1 ,1

= TKN - TOTAL ~ ELOAHLNKTROGEN CHEMISTRY SITE NO !NOZ - NlTRDTE NO3 = NITRATE

In~

CHEMISTRY FIELD TESTS+.1,-T E S T 8 Yi DATE, EQWPMENT USED,

fCONTENTS oF FOLDER %

~ [+

CJDRlLL LoG PUMPTFSTDATA CJCHEMICAL ANALYS49 /1,CJ ~ EVE ANALYS ~ CJGEOPHYSlCAL LOGS CJREPOWT

1

OTHER

SOURCES OF INFORMATION

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42Hos

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