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1 � <br /> . MONITOR WELL CONSTRUCTION • <br /> i <br /> Location: <br /> �UJIhdd �i� _Drill Cont <br /> 9ng ractor: rq Location: t'Lr° <br /> Oriller's Name: r Job Number: <br /> Well Number: ~' 15 Oate/Time: Start 1' Finish <br /> �,. .. Comments (Lost circulation Interval, Water level changes, Hole collapse interval, etc.): <br /> 4r <br /> Depths in Reference <br /> to Ground Level <br /> Top of Z• 5i <br /> Protective Casing - Locking Cap / <br /> •"' Protective Pipe i7ct/'� J7`CCI <br /> } Top of Well Casing <br /> a iL i Type, DIameter <br /> CemenUGravel Pad <br /> Top of Cement <br /> Bottom of 2 5" <br /> Protective Casing <br /> ri <br /> Ground Water <br /> ,{ Type of Grout Nntl',!r>1PHi'��6enlpnM+ <br /> + Casing: <br /> TYDe ��� piles <br /> - '.. <br /> Olameter <br /> Couplings: <br /> s Type <br /> Number <br /> Depths <br /> P ofi" h o c k s retJJ . ta <br /> Bentonite Seal `� u Type of Plug // f <br /> Top of Gravel Pack <br /> Gravel Pack: 3 <br /> r,s Top of Screen-- -• _ Material �YLGt <br /> -- Screen:I <br /> TPe <br /> Oameter <br /> Length <br /> =--- Slot Slze <br /> Bottom of Screen X5'O C - �•fJ �/ <br /> Bore Hole Diameter <br /> Total Depth <br /> of Bore Hole <br /> NOT TO SCALE <br />