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M N=R.INGWELLD(STAUATi0NREP©RT <br /> g•b3 C()NSTRUCMCIN <br /> Date: Total Dcpch� <br /> �tfl <br /> premise Addtms:� 1q�� o WCC. Screen Length (from) Cto) <br /> . /L/ fdw PaC's Cpm) C <br /> Wel No: M Bentonite Cpm) <br /> Crom cf om) (m) <br /> ?nspectar. Drfiing rig type . <br /> d p uge 0�7.�__ 17. <br /> Permit No. CompleIIon- Stave pioe/chttstie box Ccr^�e one) <br /> On1Ang <br /> he:SEn Tom_ <br /> r T <br /> cansult=nt ' . <br /> ILZ--VSv'�axtn <br /> SPEC AL PERMIT WFC. 9r�oc <br /> L <br /> Distance to sewer Line <br /> Domestic well on site - C y� /3 <br /> if yes, tocztiom and distance - ! - <br /> SUNG <br /> Holding Temperzturt <br /> Method - <br /> Saxening Method—L <br /> =racking Sheet - C Y <br /> S?CItS / <br /> Storage Me�od <br /> CJS �.QC MATUTAIS/DEVELOPMFNT <br /> eontamiTaa't�ioII usingti9Pe <br /> Smrage yyVpLiOII Blank a `/ a Scre=a <br /> SLOG SIZe •d <br /> Bags rnm eIIt <br /> CROUMNG Buc'= bentonite <br /> Bags sand/,--Ivel <br /> Depth CO vrdter Fltet$ack typesize <br /> W.'=Ratios Sage Block- - C Y/ :L) <br /> Lusularion Method Discussed with geologist- C Y <br /> Quantity ku3aIIed Type of m shod ' <br /> 7-- <br />