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MJ0'ORINGW°L (SISTALIAiiONR=aORT <br /> Date: /-//-93 CONSTRUCTION <br /> Premise Address: '7� W i t�f i Tota! Deptn <br /> S / � /c ZS <br /> Seeen length (from) ZS (to) S <br /> Well No.: FIltc Pack (from) 2�5 <br /> . (ro)� <br /> r. Bearonite <br /> irspecto (f om) (ro) Z <br /> Grout (from) '2— (to) O <br /> OZ� p,/� <br /> Drilling rig ype <br /> -:wWI/L- <br /> Q O <br /> Peic No. ll r Auger O.D. $ z— I.D. z <br /> f� /�_ Completion - e/ stie box (circle one) <br /> Drilling CompanyC�O <br /> . !./ /�7�'L. Stove pip <br /> �� <br /> Driller: r�n I u I ( /1)(�/A P 1j Pore Gs <br /> Consulranr /��Q+��j GZ/J z• <br /> Geologisr e4uo io n/10- . y <br /> S?_C(sr PE:LN/97INFO. _=• .i' <br /> Disrance ro sewer line �b <br /> Domestic well on site - ( y n <br /> If yes, location and distance - - <br /> SAILING -_ <br /> 0 /1 <br /> 1•?Oldlr•'o lenlpt'd ' e C� — <br /> Method 25 <br /> Screening Method / ea <br /> Trackiag Sheet - y n ) t: <br /> SPOILS <br /> Storage Method £ Mn i c:u%.LSiutvt;LOP!�NI <br /> Contamination Noted - � ,/q �G� 40 kc <br /> Storage Location Casing type `( <br /> Blank S fr. Steen 2-O ft <br /> Slot size l <br /> GROU'ING Bags cement 3 <br /> Buckets benronire yq <br /> Depth to water /✓/4 Bags sand/gravel <br /> 'Y IL"( Rados t 2 Filter Pack type/size <br /> Itistalladon Method ®G!t Z - Surge Block: <br /> Quandry Installed 30 (Jet va _ D scassed with geolog,.sr. - ( / n ) <br /> Type of method <br /> �1111f3 V9 //,6l3 <br />