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MONITOR WELL CONSTRUCTION <br /> Logged By: Client: <br /> Drilling Contractor: Location: <br /> z Driller's Name: "' Job Number: 7� <br /> Well Number- OateRlme. Start Finish _ELIO <br /> Comments (Lost circulallon interval, Water level changes, Hole collapse interval, sic.): <br /> Depths in Reference <br /> to Ground Level <br /> Top OI 7 rte/ Locking Cap <br /> Protective Casing— <br /> - Protective Pipe <br /> �,�� Type, Diameter <br /> Top of Well Casing _—_ _ <br /> } , Cement/Gravel Pad <br /> i <br /> Top of Cement <br /> Bottom of <br /> Protective Casing <br /> Ground Water -- <br /> i <br /> Type of Grout <br /> a Casing: <br /> f - - Type Gil Y <br /> "z Diameter <br /> Couplings: <br /> ;I Type <br /> '. Number <br /> -+ Depths <br /> Top of <br /> Bentonite Seal <br /> / Type of Plug Ole <br /> Top of Gravel Pack 6 �4 ' G <br /> j Gravel Pack: <br /> Top of Screen ----- �-- - _ _ _- Material e_-3 <br /> Screen: <br /> ._. - - ___ - Type <br /> _ <br /> .y <br /> =-= Diameter_ <br /> - __--- Length <br /> Slot Size <br /> 1 Bottom of Screen — Bois Hole Diameter <br /> Total Depth ---� --. <br /> of Bore Hole <br /> NOT TO SCALE <br />