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ARCADIS Well Destruction Log <br /> lnfro,true <br /> c`�Jr,, nvironment, buildings <br /> Project Name: Site Address: Project No. <br /> T-, tNAtr+Z . r�A c . :1n.0 f_ S c -MA(-,q <br /> Well ID: -)w _ (D Well Installation Permit ID: —' <br /> Drilling Co. 'ErAfce p.E Well Destrucition Permit ID: <br /> Drilling Crew: Begin DaterTime: ]O t lZ 1Lt SD <br /> Well Diameter: Z" End Date/Time: <br /> Type of Well: ,�'S' Northing/Fasting or Lat/Long: <br /> DTW: Ground Surface Elev.: <br /> Well Depth: !5 Top of Casing Elev.: —' <br /> Screen Interval: <br /> Destruction Method: ovg CASLO6 OVCAX4L1Lf– <br /> Total Depth Overdrilled (ft bgs): IS Drill Bit Size: Borehole Diam: 'r <br /> Tremie Pipe used Y/N Depth of Tremie ry TS eq,6s <br /> Type of Grout 41 P E- -Ly- <br /> Amount of Grout used I Ul' P,h S Estimated Amount of Grout needed to Fill Void Space: <br /> Amount of Water used 60C?A L Grout Calculations: Well Diameter: Casing Volume/ft: <br /> Bentonite used Y/N Amount: CV=(TTr h)(7.48 gal/cu ft) 2 0.163 <br /> PSI Time: or CV=n[(D/2)/12 in/ft]Zh (7.48 gal/cu ft) 4 0.652 <br /> Surface Completion Assume 35%porosity for gravel pack 6 1.468 <br /> Description of Boring Location: <br /> SF 6f� CjTK MACkR-t 164 uCi <br /> k�Zo rho 67,w <br />