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WELL LOG AND REPORT TO THE STATE ENGINEER OF NEVADA Log No.......; Rec.............. Well No..... Permit No... I ____ _____194..... Do not fill in Owner............................... ................... .............................................. .......I; Driller................................ Address.................................................................................. Address......................................... ....... ........ ..................................... Lie. No..... . ....... Location of w ell: ........ % Sec.........., T......... N /S , R........E, in...............................I...................................... ........ .............. County o r...................................... ...........^ ....... .................. *...._____ ___________................................... . Water will be used for........................ ................................................ .......................Total depth of well.............................................................. Size o f drilled hole.......... — ........ ....................................................... Weight o f casing per linear foot................................... ........................ Thickness of casing......... ................... ............................. ........................Temp, o f water....:®!!.......... ......... ......................................... Diameter and length of casing................................................. ........ ......................................... (Casing 12" in diameter and under give inside diameter; casing 12" in diameter give outside diameter') I f flowing well give flow in c.f.s. or g.p.m. and pressure................................................................... I f nonflowing well give depth of standing water from surface......................................................................................................... I f flowing well describe control works........................................... ............. ....... ;......... ....... ................. ................ (Type and size of valve, etc.) Date of commencement o f well........... ......................................... ....... Date of completion of well..................................................................... Type o f well rig____ ________________________________________ ____ ______ ...................................... g L O G O F F O R M A T IO N S From feet To feet Thickness feet Type of material W ater-bearing Formation, Casing Perforations, Etc. Chief aquifer (water-bearing formation) from .............. ......... to Other a q u ife r s ............. ....................... ft. First water at________________.feet. Casing perforated from _______________ to ........__________ ft. Size of perforations