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MOC' Eil:�iG 4V°_E.' Ci15'T.�L:.�TICN �cCEtT a ../ <br /> i <br /> I _ <br /> 1 _�5 CONSTRUCTION <br /> Daces• <br /> o-es se <br /> Address, 7i1 O 9l C �^�/ Tocal Depch 3� <br /> Steen Length (from) 29.5 (to) <br /> Flrer ?ac!c (from) �b Cto) l3 <br /> ice (from) (co) <br /> Grout (�S 11.5 <br /> Inspec-oc <br /> Grout (from) lt• (to) <br /> Drlling ig type CmS�5 <br /> oe^:c Va. ��S��O Auger O D. I O'Iz I.D. <br /> Comoledon- Stove pipe/&x;sde box (circle one) <br /> Drilling Company. 4p az--' heighm177 • <br /> Consultant�i�'�R ✓�`� �j \ <br /> C�.`#�/ G A3CV�.>RCt ND CiiAtS'!3CX <br /> CeolagsL L~ba�3CN _TiCN <br /> C-JrdSalad . <br /> S?rrpr ?eZ�iT IN--'O• <br /> gca-t _ <br /> Distance to sewe^i^-e - V ILS ti <br /> Doresdc wet on site - C y/ n) <br /> !f yes,,yes, location and durance <br /> a — <br /> �' c <br /> Lod j c <br /> S?_�(��iNG soc'on r. <br /> � <br /> �oldirg Tempe btu `r <br /> Ste-_nmg Men�od 1` <br /> Tncc---ig she <br /> — <br /> i <br /> SPOILS <br /> Sca2ge 'Me:l:od <br /> rf}t f 6'L,, bUt RI ALS/DEVELOPNEN7 <br /> Contaminadon Noted - y n) O�Gt =ZOO Casing type `f C- <br /> Scocage Location OZ /�+X� t S R <br /> Bl l � ie Steen <br /> Slot size <br /> CROU?"NG Bags c men[ <br /> � Bucces beaconite <br /> Deoch to water Bags sand/gravei 5 <br /> �tLC j3C05 3�r2ad �Y" 't 7 �� rlter?ac-'ctype/sizd lr� <br /> I^s:alladon Vte o <br /> surge Mock: - a ) <br /> Quandt/;•utalled TyVoisceof d ho gealogs - ( y/� ) <br /> Type of:ne_.od C-0-12,41F <br /> Zsw 6 — OQ <br />