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• q b 60 h �O'�j <br /> MONITOR WELL CONSTRUCTION <br /> Logged By: h �v Cllenl:/ASS <br /> Drilling Contractor: ' Locallon: <br /> Oriller's Name: Job Number: <br /> Well Number. 5 OateMme: Start Finish <br /> Comments (Lost circut alion interval, alar level changes, Hole collapse interval, etc.): <br /> Depths in Reference <br /> to Ground Level <br /> Top of Locking Cap <br /> Prolective Casing— � <br /> + — Protective Prpe <br /> Top of Well Casing . , Type, Diameter _ <br /> CamentlGravel Pad <br /> Top of Cement— <br /> Bottom of / <br /> Protective Casing—+ <br /> Ground Water --� — -- - /, <br /> Type of Grout <br /> Casing; <br /> Type <br /> Diameter <br /> Couplings: <br /> Type <br /> Number <br /> Depth _ <br /> Top of <br /> Bentonite Seal -- type of Plug <br /> Top of Gravel Pack 7 <br /> P Gravel Pack: <br /> To of Screen —��— -+ Material ��� / <br /> Screen: <br /> -= ---= <br /> Type � <br /> olameler <br /> -- Length <br /> _--_ "- <br /> Slot Size oV <br /> / /1 O// <br /> Bottom of Screen — � -.- - Bore Hole Diameter 40. <br /> Total Depth <br /> of Bore Hole <br /> NOT TO SCALE <br />