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ti ARCADIS Well Destruction Lo <br /> Infraszr«cture, environment, buildings <br /> Project Name: Site Address: 4 e-r-S ens Project No. <br /> LkP9e f7, o-)'ttN-r LDg IS&S (-I• &%Ac Aen-t%xr- RC d�9 <br /> Well ID: (0 y,J_is A Well Installation Permit ID: <br /> Drilling Co.Co. PC--NWell Destrucition Permit ID: <br /> Drilling Crew: Begin Date/Time: 10 ( 12L y5 <br /> Well Diameter: L,'r End Date/Time: LO ItS !t Z i S <br /> Type of Well: Mo NL-rop-%t.s e) Northing/Easting or Lat/Long: <br /> DTW: Ground Surface Elev.. <br /> Well Depth: 20' Top of Casing Elev.: <br /> Screen Interval: <br /> Destruction Method: ovetaOe-jt.s (L€Mav&- <br /> Total Depth Overdrilled (ft bgs): Drill Bit Size; 10 `l Borehole Diam: td'` C�;),Jf�2or-tLL <br /> Tremie Pipe used YIN Depth of Tremie ti Lo (p&7 <br /> 7 S <br /> Type of Grout e- <br /> Are- <br /> Amount of Grout used oa Estimated Amount of Grout needed to Fill Void Space: <br /> Amount of Water used ZANEWL, C 4L Grout Calculations: Well Diameter: Casing Volume/ft; <br /> Bentonite used YIN Amount: CV=(rrr2h)(7.48 gal/cu ft) 2 0.163 <br /> PSI Time: or CV=rr[(D12)/12 in/ft]2h (7.48 gal/cu ft) 4 0.652 <br /> Surface Completion Go Hc.of e.A-r c,A Assume 35% porosity for gravel pack 6 1.468 <br /> Description of Boring Location: <br /> C [ CA C-t 2.5 6AL) <br />