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Job No.: Hole No.: Drilling Method: Borehole elevation (m RL): Test Date
Client: Dip (Deg): Drilling Contractor: Groundwater depth prior to test (m bgs):
Project: Bottom opf packer (m): Borehole Radius, rb (m): Height of drill rod stick-up (m):
Location: Base of borehole (m): Radius of Influence, R (m): Pressure Gauge Height (m ags):
Tested By: Test Length (m): Borehole flushed prior to test (yes / no): Packer Type:
Checked By: Test diameter (m): Injection water quality (clean, turbid, mud etc): Rock Type: