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ARCADIS Well Destruction Log <br /> 1 -�>>,r;,c �,r_}, en, •O ,�?int, 3� 't.'r, <br /> Project Name: Site Address: Project No. <br /> Well ID: IN,�+- Well Installation Permit ID: <br /> Drilling Co. p Well Destrucition Permit ID: <br /> Drilling Crew: Begin Date/Time: 0-LIP[ . 1 Z O a <br /> Well Diameter: 2 if End Daterf-me: ) 0. d Lks <br /> Type of Well: t-S J Northing/Easting or Lat/Long: <br /> DTW: Ground Surface Elev.: <br /> Well Depth: I S Top of Casing Elev.: <br /> Screen Interval: <br /> Destruction Method: eA-SIN3 a QEr,%avAL- E,Q.OLA-r` <br /> Total Depth Overdrilled(ft bgs): N k- Drill Bit Size: NA- Borehole Diam: <br /> Tremie Pipe used Y/N Depth of Tremie <br /> Type of Grout <br /> Amount of Grout used (v (;Pt'6s Estimated Amount of Grout needed to Fill Void Space: <br /> Amount of Water used Z CSA;L- Grout Calculations: Well Diameter: Casing Volume/ft: <br /> Bentonite used Y/N Amount: CV=(Trr2h)(7.48 gal/cu ft) 2 0.163 <br /> PSI Time: or CV=Tr[(D/2)/12 in/ft]2h (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 />