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/f �� CONS CN <br /> Date: �/Aa- q <br /> Total Depth ! 2 Z <br /> ?-e.ise Address: Steen Length (70Z9y (t°) 6 Z <br /> Fate:?acc (from) —(to .6 <br /> Wel NO.: �S_ , Bentonite (from)—C ) <br /> Grout Cl °m) 7 —(CO) <br /> inspector: - Drilling rig We C-ALc ZS <br /> .X353 Auger o n /(DI D. <br /> _-- — <br /> oe-^it No• Comaletion - Stove pipe/c^:sd. e box (circle one) <br /> Drlling Company. �� cas'_n4 <br /> •� = height <br /> Driller. �itiL o 7 • <br /> lJ-sem, �z — Ag;,yE.;ACx.'ND CFRSY3CX • <br /> Geologist �o Crtr?'=CN C _ ICN <br /> S?_ri. . _ I 'owt <br /> Dis:a^.ce to sewer line <br /> Stec( N da S 31' (o fL <br /> IL <br /> Domestic well on site • C Y/ n) /5 P� d � �Z ft- _ A <br /> If Yes, location and distance - T' _ <br /> ------------- <br /> I r o <br /> _ o <br /> tl°ita� = e <br /> �acSon = <br /> gnrvipack <br /> boldin; Tempemare _ I <br /> Method <br /> Sceening Me hod — c�y Y • _ ��-g <br /> Tracking Sheet - 7/ n l <br /> • 2 li <br /> s?olu <br /> / MAiFFRI AIS/D EVEL O?kEN T <br /> Storage Method SSD �t <br /> Contamination Noted - (Y yCasing tYP e �' fie. 90 P✓c. <br /> Storage Location olt Elynt�_it Screen 20�� <br /> /!/ �i �tcarrca t�Ede slot size G Z <br /> Bags cement <br /> GROU:ANG <br /> Bucces beat°Hite 8 <br /> Zsf, Bags sand/gravel <br /> Deoh to wale Fare-, Patti rype/size 2 I <br /> ML%Rados Surge Block: - a) <br /> Installation Method c Dis =sed with giologis• F i1/ awj33��'c <br /> Quan:=y Installed TY°e of method <br />