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Mor•RING WE.' RNSTALr' ArCN R--nCP-T <br /> Q_ , p l fr(� � CONS AUC ION <br /> )ace:�-" v i <br /> 2Z <br /> Q� Total Depth <br /> ?-emise Address: 2�7�5 /.0 / Screen LP_ _h CL_om) 1 Z —Ct°) r i <br /> Flter ?acc (from) 22 (to) to <br /> well No.: ��- <br /> Bentonite <br /> Chom) IO (to) �d <br /> Grout C om) �S (LO) C) <br /> Inspector Dulling tig type " <br /> Auger OD. l I I.D. 7 <br /> oe_-It No. Comoledom- Stove pipe/crr'stie box (circle one) <br /> Drilling Company. r" 1 <br /> cas°n4 <br /> height <br /> Drill e^ <br /> Geologst ISE 13:.V�.�AOt.'ND C!-GiS'!-3CX <br /> C~I.?'=i 1CN C^,MP'CCN <br /> Cr�Sulac+ <br /> S?°C :%L ?c:k�,I17 INFO. yrat <br /> Distance to sewer lite <br /> Domestic well on site • (y/G) --� <br /> JG"i• <br /> !f,yes, location and distance <br /> .�ted _ <br /> 0 <br /> S?yl?LiN. 0 <br /> Holding Temperaruze — <br /> Mer�od <br /> Screening Method Z� � t <br /> Tcin <br /> racg Sheet - � n) IL <br /> SPOILS <br /> ��S MA i c�.IALS/DEVflLOP"�'t <br /> Storage Method <br /> Contamination Note(y ri �� Casing type 7 <br /> Smrage Location !�_ <br /> ylzn r fG Screen !� —� <br /> Slot size <br /> Sags cement <br /> C20I1 NG Buttes bentonite <br /> B �5 Sags sand/grave! � <br /> ' <br /> Depth to water r Filter?ac-k typesize <br /> LILY Rados $urge Block - (y <br /> l u alladon Meciod Duc_=sed with geologist: - (y <br /> Quancy installed Tyoe of method <br />