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MONITOR WELL CONSTRUCTION <br /> Cllenl:�AL <br /> Logged 8y: / Location: <br /> Drilling Contractor: Job Number: <br /> Driller's Name: _ _ <br /> Well Number:_ OatelTlme: Start Finish <br /> Comments (Lost circulation interva ater level changes, Hole collapse interval, etc.): <br /> Depths in Reference <br /> to Ground level <br /> Top of rj -- Locking Cap <br /> Protective Casing !/ <br /> / �-- Protective Pipe <br /> n 0 Type, Diameter <br /> Top of Well Casing �— CementlGravel Pad <br /> Top of Cement <br /> Bottom of v / <br /> Protective Casing <br /> Ground Water — fi <br /> Type of Grout x/14 �✓ <br /> Casing: <br /> Type <br /> Diameter_ � <br /> Couplings: <br /> Type <br /> Number <br /> Depths <br /> Top of / �! <br /> qt � <br /> S LBentonite Seal --- �� �._---- Type of Plug, /Top of Gravel Pack 06add <br /> J Gravel Pack: <br /> Top of Screen AL `l/ Material �_s�! c)— <br /> Screen: a Jwt/n/ <br /> Type <br /> Diameter_ <br /> Length <br /> Slot Size <br /> Bottom of Screen + Bore Hole Diameter <br /> — <br /> Total Depth <br /> of Bore Hole <br /> NOT TO SCALI <br />