Well ID: 7632

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: 7632
Quarters SE-SE-SE	Section 24	Township 18N	Range 06WI

Latitude 36.015426	Longitude -97.783724
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 Kingfisher

Variance Request No. (if applicable) n/a

WELL OWNER - NAME AND ADDRESS

Well Owner Nat'l Corp.

Phone

Address/City/State 706 1st Nat'l Center Oklhoam OK

Zip

Finding Location

Well Name

Water Rights #:

TYPE OF WORK: Groundwater Well

USE OF WELL: Industrial

NEW WELL CONSTRUCTION DATA

Date Well or Boring Was Completed 04/18/1980

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 9 inches to a depth of 142 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

1) Well Casing Material PVC Casing Diameter 5 inches Casing From ft to 142 ft

SCREEN OR PERFORATION INFORMATION

Type of Screen: PVC Type of Slots or Openings: Hand Slotted From 112 ft to 142 ft.

FILTER PACK INFORMATION

Filter Pack Material:

WELL SEAL INFORMATION

Type of Surface Seal Cement Grout

Surface Seal Interval: From n/a ft to 10 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 gpm

First water zone 25 ft

LITHOLOGY DESCRIPTION

MATERIAL	ENCOUNTERED		SATURATED
MATERIAL	FROM (ft.)	TO (ft.)	SATURATED
top soil	0	60	N
rock	60	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 A GREEN	D/PC No.
Operator Name	OP No.
Date n/a
Comments: n/a