Well ID: 30987

MULTI-PURPOSE WELL COMPLETION & PLUGGING REPORT

Oklahoma Water Resources Board
3800 North Classen Boulevard
Oklahoma City, OK 73118
Telephone (405) 530-8800

Legal Location
North

			x

«——— One Mile ———»
Each square is 10-acres

WELL ID NUMBER: 30987
Quarters NE-NE-SW	Section 21	Township 02S	Range 12EI

Latitude 34.3664	Longitude -96.050319
Date collected(latitude and longitude), if different from date the well was drilled: 01/08/1998
Method latitude and longitude was collected: Interpolation from PLSS

County Atoka

Variance Request No. (if applicable) n/a

WELL OWNER - NAME AND ADDRESS

Well Owner BILL PASQUALI

Phone

Address/City/State ATOKA OK

Zip

Finding Location

Well Name

Water Rights #:

TYPE OF WORK: Monitoring Well

USE OF WELL: Water Quality

NEW WELL CONSTRUCTION DATA

Date Well or Boring Was Completed 08/19/1987

Number of wells or borings represented by this log 1
* (Borings are within the same 10 acre-tract and with the same general depths and lithologies)

Hole Diameter 8 inches to a depth of 100 ft.

CASING INFORMATION *Note: If surface casing is used please indicate that on the appropriate well casing information line.

Surface Pipe Material: Surface Pipe Diameter inches Surface Pipe From ft to ft

SCREEN OR PERFORATION INFORMATION

FILTER PACK INFORMATION

Filter Pack Material: Fine Gravel

Filter Pack Interval:

From 88 ft to 100

WELL SEAL INFORMATION

Type of Surface Seal Cement Grout/Bentonite

Surface Seal Interval: From 86 ft to 88 ft

Type of Annular Seal n/a

Annular Seal Interval: From n/a ft to n/a ft

Filter Pack Seal Material n/a

Filter Pack Seal Interval: From n/a ft to n/a ft

TYPE OF COMPLETION:

HYDROLOGIC INFORMATION

Depth to water at time of drilling ft

Estimated yield of well 0 gpm

First water zone ft

LITHOLOGY DESCRIPTION

MATERIAL	ENCOUNTERED		SATURATED
MATERIAL	FROM (ft.)	TO (ft.)	SATURATED
GRAVEL	0	1	N
SANDY RD LAY	1	13	N
YELLOW CLAY GRAVEL	13	16	Y
SANDROCK CLY SHELFS	16	25	N
SANDROCK	25	32	N
BROKEN SANDROCK	32	33	N
SAND ROCK	33	35	N
RED SHALE	35	41	N
SANDROCK W/SHALE SHELFS	41	58	N
RED & BLUE SHALE	58	63	N
SANDROCK	63	64	N
BLUE SHALE	64	82	N
SANDY BLUE SHAEL	82	86	N
RED & BLUE SHALE	86	100	N

WELL LOCATION TO POTENTIAL SOURCES OF POLLUTION

Has this well been disinfected after completion of work? n/a

Are than any potential sources of pollution or wastewater lagoons within 300 ft. of the well? n/a

Distance of Well is n/a from possible source. Type of possible source: n/a

PLUGGING INFORMATION

Date Well or Boring Was Plugged n/a

Total Depth of well being plugged ft.

Was the well contaminated or was it plugged as though it was contaminated? n/a

If the well or boring was plugged as if it was contaminated, was the casing removed or perforated? n/a

Was the grout tremied? n/a

Backfilled with n/a

Backfilled from _ ft. to _ ft.

Grouted with n/a

Grouted from ft. to ft.

Grouted with Cement

Grouted from ft. to ft.

Firm Name JOHN H. WELCH, INC.

D/PC No. DPC-0347

Operator Name

OP No. OP-0224

Date n/a

Comments: n/a