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MO' BRING W£LL.INS TAU-N7ON R�.PORT <br /> 7- ?3 CON=. UCTION <br /> Premise Address: �� / N. � 5V7 - Total Depth qo <br /> Screen Lengrb (from) (to) <br /> Well No.: Filter Pack (from) Cf (to) t T <br /> Bentonite (from) 7- (to) 5a— <br /> lnspec:or: Grout (from) 5y (to) <br /> Drilling rig ype L� 3Dc� <br /> Permit No. I3- O,ES(o Auger O.D. ( L <br /> ' ' I-D. 3- <br /> Completion - Stove pipe/chrsde box (circle one) <br /> Drlling Company. der,/gip - 4u� - <br /> QQ,^, —♦" _� cas_zq <br /> �\ <br /> Driller. ��0� /J4 t.L I * height <br /> Consultant <br /> Geologist ,�,gCV��ACLND CHSZ 1Y-aex <br /> SPECIAL PER-k4T INFO. i <br /> �tovt <br /> Distance to sewer line 4 <br /> Domestic well on site - ( y/ ft. <br /> n <br /> if yes, location and distance - 3 <br /> 14o <br /> v <br /> SA TL ING s+c:on _ I <br /> x: <br /> Holdi,Zg T empe ature �✓O `�% � - �� <br /> a� <br /> Method a- _ <br /> Sc:eening Method <br /> Tracking Sheet - y n ) = y► +�. <br /> SPOILS <br /> Storage Method £ v MA i cRIALS/DEV-E-LOP>VLNP <br /> Contamination Noted - / n ) 2` 5c k 90 EVC. <br /> Storage Location Casing type <br /> Blank 70 ft- Screen ZO ft. <br /> Slot size - L <br /> GROU ING Bags cement <br /> `� Buckets bentonite / <br /> Depn`s to water <br /> T7 5k Bags sand/gravel 36 " ? <br /> Mix Rados D `� r t3�,�( � > Filter Pack type/size <br /> Ins:Alla ion Meeh d rt��� Surge 3lock: -� n ) <br /> Quancty Installed 2 i►w � __ Discussed with geologist: - n <br /> 7l jT � Type of method <br /> S / 7- 93 <br />