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MV C. We . INS"-AI:A;ICN R---IORT 0 <br /> 'Date: � /cI Cao CON�ON <br /> (/ TOW Depth Z� <br /> ?-erase Address: �ZS Screen Lergch (Isom) 7A (to) Lc� <br /> Fater Pack (from) zC5 (to) Fs <br /> well NO.: Bentanite (from) S (to) <br /> Grout Cl am) G (to) d <br /> Inspector. Drilling ig type cru E -Pg <br /> Auger O.D. !L' I.D 6 <br /> ?e=.;c No. Comoledan - Stove pipe/c:rsde box (circle one) <br /> Drilling Company: o as•ng <br /> ♦I • he r <br /> Drier. <br /> Corsultanc <br /> �a� e V�1�2. CHAZ5 3cx <br /> Geologist CrfrP'=1CN CC+App_,ICN <br /> Grurnd S�s!�c+ . <br /> Sperrar ?c:7y47INFO. qra-: <br /> I <br /> Distance to sewer line <br /> Damesdc well on site - (Y <br /> if yes, location and distance - � • <br /> 3 <br /> o <br /> 0 <br /> %c' C <br /> O <br /> (Iatcrd � e <br /> Holding Temperature _ I <br /> Methods <br /> Screening Method N� ' 2D T t = fL <br /> Tracking Sheet - 6Y n) <br /> SPOILS <br /> MATERI-kLS/DEVELOP*�T <br /> Storage Method �'�- � Y„ <br /> to ft. <br /> Contamination Noted • (y n ) A Casing type <br /> Storage Location a� ux 81 =_� Screen <br /> Slocsize ,oz <br /> Bags cent <br /> GROWING Bucketsbentonite� � <br /> Bags sand/gravel <br /> Depth co water 'rater Patti typesize 3 <br /> Mie Rados Surge 31odC - C Y/ n) <br /> i talladon Me :ad Duc_msed with geologic- - <br /> Quantity installed Type of method <br />