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MC' TOPING WELL NS7ALy' ;ION R PORT <br /> Da[z: <br /> Z�` C Z CONS RUCTION <br /> /J /���® � <br /> Premise Address: a'21 3 4y6 Tocal Depth �D <br /> Screen Length (from) 30 (to) IS <br /> Well No.: Filter Pack (from) 30 (to) 13 <br /> Bentonite (from) I3 (to) 11 <br /> Inspector Grout (from) II (to) O <br /> Drilling rig type 1353 <br /> Permit No. 3 0 Auger O.D. I.D. <br /> Completion - Stove pipe/chrsde box (circle one) <br /> Drilling Company. <br /> _ casing <br /> Driller: —The <br /> Consultant' (5�"2"8"+�u�K/ !'zek LJ <br /> 00� /� ABOVE-GROUND \ <br /> G20lOg[SL CFiAISY3CX <br /> CO&FL-I CCN COMPL=i ICN <br /> Ground Sulact <br /> SPECIAL PERMIT INFO. <br /> grout <br /> Distance to sewer line <br /> ft. <br /> Domestic well on site - (y/ n) <br /> /3 ft <br /> If,yes, location and distance - 15, ft. <br /> 'aK.. <br /> O <br /> a <br /> C <br /> O <br /> sicRDd <br /> SAMPLING t�eion _ <br /> a <br /> gnVe,pack <br /> Folding Tempera[ure — I <br /> Method e ' <br /> Sceening Method mer 6, 1,L�-7 <br /> TrackLig Sheet - y n ) 30 ft. r = * -ft. <br /> SPOILS <br /> Storage Method W MAicRlALS/DEVELOPMENT <br /> Contamination Noted - y n ) 2 <br /> Storage Location Casing type <br /> Blank__-4ifr. Screen 1 ft. <br /> Slot size <br /> GROUTING Bags cement B <br /> Buckets bentonite 1 <br /> Depth to water Bags sand/gravel <br /> Mbc Rados_ JOD*'66 772 > Filter Pack type e <br /> Installation Method Surge Bloc..i - n ) <br /> 3war YL Discussed with geologist: - { n <br /> Quantiy Installed 6een ) <br /> Type of method y <br /> CC' <br /> z <br />