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W r r UNSLAL:_A:,–L CN REPORT <br /> CONS'i-:LUC77ON <br /> Local Depull �7 <br /> ?-e=.se Address' s�'Y'Y' Seeen L.eagth *om) Cto) 5 <br /> ilJ� ;ate_Pack (fL (t°) <br /> Wel No. Bentonite (from) CLO) <br /> Grout Com) CCO) <br /> (nspet:oc: DrMing rig type k g/ <br /> Ager O.D. Z/ I.D. s <br /> pewit X10. Comoladoa- Stove pipe/c:.eszie box (circle one) <br /> DrOng Companr. <br /> Drller. � <br /> Corsultanc <br /> f-OGL ly,14 - A.3Cv=.^,�OC.'tvD <br /> psa-AL PMA4 <br /> Du;a^.c_ CO sewer!in ,L <br /> Domes-dc we—" on site - C Y a <br /> If,yes, location and distant= - 't' T" _ <br /> Y � � <br /> c <br /> SA11(?(- G4e eu <br /> ¢a r <br /> HoldingL emD , <br /> Me•�od. - <br /> Sc:et^ting method <br /> n y <br /> Lrac-`dag Sheet - Y ) (p0 �– <br /> SPOILS <br /> . ��[p,i�iALSI�JEV�?OP?►�T , <br /> Storage Method <br /> CoAtaminatioA Noted• C Y� Casing type fz. <br /> Storage Location Blank fc ScreeZp <br /> Slot size OZ <br /> Bags cement 3 <br /> G�OU' NG Buckets bentonite <br /> x 65 Bags anvzmvel 3 <br /> Depth to waren–..:— rite-•pack 7pe/size <br /> .Iix Rados Surge 3loc�' - C Y a <br /> I:ss;alladon v1e_:od Discssed wi[h geologt - Y/ n) <br /> Quand:y Installed Type of method <br />