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•e''J / 11-► � I ) <br /> MONITOR WELL CONSTRUCTION* <br /> wit <br /> i',, '.• Kcgged-t�: (ISA) <br /> Client: <br /> Drilling Contractor: Location: <br /> K Driller's Name: Job Number: <br /> 'X9Tt-NV Rbw! Date/Time: Start - finish <br /> Comments (Lost circulation interval, Water level changes, Hole collapse interval, sic.): <br /> 9t: <br /> Depths in Reference <br /> to Ground Level <br /> Top of / <br /> Protective Casing Locking Cap <br /> Prolective Alpe <br /> / Type, Diameter !v <br /> '- Top of Well Casing <br /> CementlGravel Pad <br /> Top of Cement- <br /> Bottom <br /> ement Bottom of / <br /> Prolective Casing- <br /> Ground Water <br /> Type of Grout 45L/,�yy�rr/ <br /> Casing: <br /> Tree_��o <br /> Dlameler <br /> Couplings: <br /> Type c_ <br /> Number _ <br /> Top of Depths —S <br /> Bentonite Seal —2 0 �ue/clr 5 eq <br /> / Type of Plug " a <br /> Top of Gravel Pack <br /> Gravel Pack: <br /> Top of Screen Material -26d3 S//'Za <br /> Screen: <br /> -__ Type -t= <br /> Olameter <br /> -== Length • .�- <br /> Slot Size - '�2 <br /> !• Bottom of Screen --. = Bore Hole Diameter <br /> Total Cepth <br /> of Bore Hole <br /> NOT TO SCALE <br />