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6ItING WF.:_' �IS1LaT1CN RACE <br /> 02 G �.e�Ia CON <br /> Dacz: <br /> 6l3/ Total Dept: (to) — <br /> ?-e_ se Addr1r.�- y Sce a I e g= COm) to) <br /> Fates?ac`.c (from)- — o) <br /> Well No.: Bentonite (L-OM) (to) — <br /> .a� <br /> Grout <br /> (ns?ector. Drain.sig 7. <br /> A� 6!Z 93 `/- Auger OLD. <br /> pe-,=;c No. Comoledan- Scov sde bon (circ a ane) <br /> Drilling Comooaanr- heighm <br /> ` casing <br /> (jI/1di 7 <br /> Dr11e� <br /> Consultant <br /> //// j3CV�vr'itX.'ND �q5^!-dCX <br /> C-eoiosst <br /> —�Gr K1 --------- <br /> jr I ol:* <br /> --------groL: <br /> S?crsr vst-:. 4T N7-C. <br /> tL <br /> Dista:.ce m sewe-site — �- <br /> Domesdc wet on site - C Y/ n) ; <br /> It yes, location and eistaace - <br /> _ o <br /> 73 <br /> Pad' <br /> �oldi.�Tempe�cse - _ I <br /> ate*mod �` <br /> Scee.^ing method T �— <br /> T;ac czg Sheet - C Y <br /> S?olu <br /> .,iq;_�IALsiDEVELo?rte7t , <br /> Storage Method <br /> Con•,amination Noted - (Y/ n) Casing cY?e <br /> ti <br /> Scocage Location 3laalIc-�—� See�_� <br /> Slot size <br /> Bags c menc <br /> c-aOUTiNG Buctets bentonite <br /> Bags sand/gravel <br /> Deoch to water Fater?aek ype/size <br /> - 'ItddOS Sutoe 3loc!c - (Y/ n) <br /> Inscanadon vte `.od Discussed with geology C 7 <br /> Quandt':nsmiled Tyle of me mod <br />