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MONi CORING WELL INSTALL:kTION REF-.,KT <br /> 7 <br /> Date: ` 3 oo`3 <br /> CON=UCI'ION <br /> Premise Address: <br /> e ZSR /,I Total Depth 55 <br /> t I <br /> r� �.��� � Screen Length (from) (to) <br /> Well No.: �` .� '� _ Filter Pack (from) (to) <br /> Benronire (from) r(ro) <br /> In ector. 0 Grour (from) (to) <br /> Drilling rig type <br /> 4 Auger 011I.D. <br /> Permit No. �`� <br /> Cornplgtion - Stowe Pipe/ctzrisde box (circle ane) <br /> I <br /> Drilling Company-- <br /> Cas <br /> ompanyCas Lag <br /> Driller. he_ghr <br /> Consultant O\r tSDL1.. " <br /> 39, <br /> Geolo t ` Y — 4 <br /> i � � Mw 2 r YE�sROUND C�iS'1'-oOX <br /> IF! <br /> SPECIAL PERMIT INFO. <br /> Distance to sewer fine Vj <br /> Domestic well on site - ( y/ n ) ' <br /> if yes, location and distance - PL <br /> s lC� �r <br /> A <br /> 15 C1,/SL 'Y <br /> z <br /> o <br /> SANTLING t St S wccn `Fn <br /> n = a <br /> Holding Temperature 5 On <br /> Method oGG/$L 3 <br /> q.l csr <br /> Screening Method 3j '�-,TO <br /> Tracking Sheet - ( Y/ n ) f. <br /> SPOILS 4 S <br /> 50 5U5 5Ats/DEVEL.OP€VIENI <br /> v� <br /> Storage Method 7MATERI <br /> Noted / n) M *KIJ f 5S 5/SL . <br /> Contamination ming ape <br /> Storage Location Blarsk f- Screen---ft' <br /> Slot size <br /> R_OUTING Bags cement <br /> G <br /> �-� 1M�'�-Z Budkets bentonite <br /> Depth to water. "Filter <br /> sand/P11V174 <br /> �� Fdter Pack <br /> Mix Ratios b 1➢ Surge BlockInstallation Merhad Discussed logist: - C Y/ a) <br /> Quantity Installed Type of method <br /> l <br /> EH 29 29LIK 71, <br /> Gc�v <br /> s I <br /> !� <br />