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MONITOR WELL CONSTRUCTION <br /> Logged By: Client: <br /> Drilling Contractor Y Location: YIYI __ <br /> Drifter's Name: ✓ Job Number: <br /> Well Number: Dale/Time: Start rFinish <br /> Comments (Lost circulation interval, Wale( level changes, Hole collapse interval, elc -y-g0 <br /> h+ <br /> Depths in Reference <br /> to Ground Level <br /> .". Top of Q r �.--- Locking Cap <br /> Protective Casing <br /> Prolective Pipe <br /> Type, Diameter <br /> Top of Well Casing <br /> � CamenllGravel Pad <br /> Top of Cement <br /> Bottom of <br /> Protective Casing— <br /> Ground <br /> asing Ground Water <br /> Type of Grout <br /> Casing: <br /> Type <br /> Olameter ,d <br /> Couplings: <br /> Type_�✓ <br /> Number <br /> Deptha O <br /> Top at <br /> Bentonite Seal - Type of Plug <br /> Top of Gravel Pack 8 �$ 'd <br /> Gravel Pack: # 3 s`, .... Ser2 <br /> Top of Screen — -� ----- - Material <br /> -r Screen: <br /> the <br /> Type T <br /> Diameter <br /> --- Length <br /> r.. -_== Slot Sixs <br /> Bottom of Screen Bare Hole Diameter lO 0 / <br /> Total Depth <br /> of Bore Hole <br /> NOT TO SCALE <br />