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<br />WELL CONSTRUCTION DETAILS AND ABANDONMENT FORM <br />AFCEE FORM WAA.11 <br /> <br />FIELD REPRESENTATIVE: <br /> <br />DRILLING CONTRACTOR: <br /> <br />DRILLING TECHNIQUE: <br />AUGER SIZE AND TYPE: <br /> <br />BOREHOLE IDENTIFICATION: <br />BOREHOLE DIAMETER: <br />WELL IDENTIFICATION: <br /> <br />WELL CONSTRUCTION START DATE: <br />WELL CONSTRUCTION COMPLETE DATE: <br /> <br />SCREEN MATERIAL: <br />STRATUM-SCREENED INTERVAL (FT): <br /> <br />CASING MATERIAL: <br />CASING DIAMETER: <br /> <br /> <br /> <br /> <br />SPECIAL CONDITIONS <br />(describe and draw) WELL CAP <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> SCREEN <br /> LENGTH <br /> <br /> <br /> <br /> SAND CELLAR <br /> LENGTH <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />INSTALLED BY: <br />INSTALLATION OBSERVED BY: <br />FORM REVIEWED BY: <br /> <br />TYPE OF FILTER PACK: <br />GRADATION: <br />AMOUNT OF FILTER PACK USED: <br /> <br />TYPE OF BENTONITE: <br />AMOUNT OF BENTONITE USED: <br /> <br />TYPE OF CEMENT: <br />AMOUNT CEMENT USED: <br />GROUT MATERIALS USED: <br /> <br /> <br />DIMENSIONS OF SECURITY CASING: <br /> <br />TYPE OF WELL CAP: <br />TYPE OF END CAP: <br /> <br />COMMENTS: <br /> <br /> <br /> <br />(ALL MEASUREMENTS IN FEET, UNLESS INDICATED OTHERWISE) <br /> <br /> <br /> <br /> SECURITY CASING <br /> <br /> CASING LENGTH ABOVE GROUND SURFACE: <br /> <br /> DIMENSION OF CONCRETE PAD: <br /> <br /> <br /> GROUND SURFACE (REFERENCE POINT) <br /> ELEVATION: <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> DEPTH TO TOP OF BENTONITE SEAL: <br /> <br /> <br /> <br /> DEPTH TO TOP OF FILTER PACK: <br /> <br /> <br /> DEPTH TO TOP OF SCREEN: <br /> <br /> <br /> <br /> <br /> END CAP <br /> <br /> DEPTH TO BASE OF WELL: <br /> <br /> BOREHOLE DEPTH: <br /> <br /> <br /> NOT TO SCALE <br /> <br /> <br />DISCREPANCIES: <br />