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Mot WG w_ '' CNST?.LLA77CN REPORT . <br /> CONSTRUCTION <br /> :)ate: qr <br /> S/ / _ _ ��.-s� Total Dept,`s <br /> ?7emise Address: <br /> • Screen Lengn': C&om) Cto) <br /> Wel No.: ?iG�lOY Y Flter Pack (from) (to) <br /> z <br /> B2-'ILOtllte (fi-Om) �J (to) <br /> lA� Grour (from) Z� (CO) <br /> Itupec;oc .q / �Q Drillingig type /S <br /> perm[ No. <br /> O/t- D l�[J �TT� Auger O D. I.D. <br /> Comolerion- Stove pip irsrie box (circle one <br /> Drilling Company. A <br /> Casiaq <br /> �L.�GG� f CSI�LQ� % 7I • height <br /> Diller. +I-- <br /> , <br /> 2 <br /> Consultant <br /> Y�v'gCC.'ND <br /> �!/ A.iC C}frt 30X <br /> GeologistY_ CC Mp1CN <br /> Grind S�-!acs . <br /> S?°Ciar PERNUT 1N- FC. <br /> gra.: <br /> L $0 <br /> Distance to sewer line r n• <br /> Domescc well on site - (y a 7--3-_`L <br /> if yes, location and distance - J -ft T-- = I - <br /> SAYDUNG <br /> gmy'g pack <br /> %s' c <br /> 0 <br /> clocad •_ _ e <br /> LKOn = 3 <br /> T-:oldir;Temperan:re <br /> Method <br /> Screening Method _) <br /> Tracking Sheet - 7,/ n) r <br /> SPOILS <br /> Storage Method 5r5 MA-I-QUALS/D�t OP! EN-7 <br /> Contamination Noted - y/ n) �u.g type Z I�! <br /> Storage Location Blank_T__fr Seeea /7J n <br /> Slot size O10 <br /> Bags est '(n )2— <br /> GROCTiNG Bucces benronite <br /> Deoth to water Bags saad/gravel <br /> Filter ?ack typesize <br /> MLC Ratios <br /> Installacan Method Surge Block; - C Y/ n) <br /> Quanriy Installed Discssed with geologist - ( %/ n ) <br /> Type of method <br /> �'ll-� /u/•/ f �u/Z <br />