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MONITOPNG WE;y INST <br /> /Lk a. <br /> "t TION �r..�T <br /> t__ 4L <br /> P <br /> ,i <br /> Dare: P o/n OM PLe76- <br /> CONS i RUCTIO[V <br /> Premise address:_ S n-, l <br /> -�� Total Depth <br /> �' <br /> Well No.. 4V2_0 Screen Length (from) (to} <br /> F. r' te- Pack (from) (to) <br /> Inspector: Benronire Y (from) (to) <br /> Grout <br /> permit No. DrMmg rig type II. -------�� <br /> /� ( Auge-O.D. lw LrJ" <br /> Drilling Comaany �Q�k�a[ va � ��� <br /> Completion -Stove pive/ct-ristie box (circle one) <br /> Driller. �c T✓L y <br /> 4 , <br /> 'casing �e <br /> Consultant �� i�, . iy'Height <br /> Geologist <br /> SPECIAL PERMIT INFO W C:.MF-='7C�t x <br /> E, CYamd S,r:acs <br /> �i <br /> Distance to sewer Sine <br /> Domestic well on site - C Y/ a <br /> If yes, location and dismnce - IL 01 <br /> !, <br /> 60 ITT <br /> SAMPUNG <br /> siaiuod a <br /> i- <br /> ?;oldin Temperature L% n [ C { 14j 4p/ r -43Z r <br /> Method <br /> saA3 r <br /> Screening Method V L 7 j 1 <br /> Tracking Sheer - ( y/ n ) Z n�°o[o✓ 515 <br /> 4. <br /> SPOILS <br /> Storage Merhod r�r1' ML=MRIA /DEVELOPMEN I <br /> Conr=dnarion Noted - C y/ n) <br /> Storage Location r Casing type <br /> Blank iii. Steen <br /> 35 r�oJv�y Slot size <br /> GrZOUTirIG a 5_ { Bags cement <br /> } Buckets bentonite <br /> ch to war �, ,yrs gags sand/gravef <br /> Dep U r S <br /> Mix Ratios <br /> / ��,� Filter?ack rype/size <br /> Installation Merhod / .,5 � urge Block: - (y/ n } <br /> ' ' +' isc,=sed with geoiogist - C Y <br /> Quandry Installed k a"leod <br /> Z-H 29 29 <br />