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�A (7A <br /> MONITOR WELL CONSTRUCTION <br /> Logged By: a � n 1 Client: s �r /11A <br /> Drilling Contractor: <br /> e. <br /> DNiler's Name: location: r L <br /> Well Number: Job Number: <br /> Comments (Lost wculallon interval, alar level changes,DHole�ol apse Interval, ete.l; Finish <br /> _� . Depths in Reference <br /> to Ground Level <br /> Top of C <br /> Protective Casing Locking Cap <br /> � n Prolective Pipe Lf <br /> Top of Well Casing —� Type, Diameter <br /> Top of CementCamemjGravet Pad <br /> -----__ ., <br /> Bottom of / <br /> Protective Casing <br /> Ground Water —y <br /> `°- -- Type of Grout <br /> Casing; <br /> Type I. <br /> Diameter— // (FI, <br /> Couplings: [ <br /> Typs r,AC.i <br /> Number <br /> Top of Depths <br /> �� �� '--- <br /> Bentonite Seal --. t;Z_ /�7 <br /> Top of Gravel Pack <br /> n ` Type of Plu� p�• <br /> / 6bacsiloo*Ie,t . <br /> Top of Screen— c50 --Gravel Pack: <br /> -- - -- Screen: <br /> TYpe <br /> --= = Diameter <br /> Length <br /> Slot Sixe <br /> Bottom of Screen <br /> Total Depth 7_ sore Hole Diameter —Z_6 <br /> of Bore Hole <br /> NOT TO SCALE <br />