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VIOL tiGra LNs, ,i ,iCN Z�oCEtT ' <br /> Date: <br /> CONS aN <br /> ��� Total Depth — <br /> ?-e�se ?ddress: Sceen Length (from) (to) <br /> Fite:?act (rrom) (to) <br /> j Well No.: Y�w 3aa[ani[e Com) Cto) <br /> w <br /> Grout (from) ([o) O <br /> Inspec:oc Drilling ng rypg lD. <br /> �✓l� Alger OD. <br /> ?e-^•.i[No. COmoledon - Stove pipe/ch sde box (cirde onc) <br /> Drilling Company. A//J,n/�ii�OAG( <br /> _^ cas_aq <br /> .I 6: he_gF.c <br /> Drller <br /> Cocsu!tarc <br /> n.. !Q� A3CVSGRCI.'ND oCX <br /> Geolog�s <br /> cc <br /> C,amd <br /> S?crrAr us-4yr INFO. grout <br /> Dista:.ce to sewer!i^.e <br /> Dor:.esdc wet on site —�L— <br /> I f yes, location and distance - --a--n' j = A. <br /> a• � c <br /> sbRad — c <br /> s�c:on r. <br /> 5��(?L!NG = gnwl Yadt <br /> 4olding L' perature _ I <br /> Mehad <br /> Sceeatng Method 9 _ r <br /> Trac!, -%g Sheet - n) <br /> I <br /> SPOILS <br /> Storage Mehod�' <br /> 55 <br /> Conraminadon Noted - C Y/) Casing type Z <br /> j <br /> m <br /> Storage Location Blank fr- <br /> Sceenj�� <br /> Slot size D <br /> Bags cement !! <br /> C.RCU7.NG Buttes bentonite !6 <br /> Bags sand/gravel <br /> De?nh to water Filter?Ick type/size <br /> MLt ZaCOS () t ll Surge Block. - a) <br /> Itsstailacion Mehod ° Disc'ussed wish geologist: -6-�)/ a) <br /> Quandt/Installed Type of method <br /> 7` o � —n <br />