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`i iRLNG WEIL RNST.A ' I:CCN R?OR- <br /> �... r.. <br /> �/Zl��� Gy� CONSTRUCT[ON <br /> Date: 7 / <br /> Total Depth � -- <br /> ?t ^se address: See-=- Lenagch. (from) (to) <br /> Fate:Parc (from) (to) <br /> Wel No.: Bentonite (from) <br /> Grout <br /> [nspec:oc Drilling rig type <br /> 'GJ g �1rger C.D. <br /> oer--k No. Como_lesion- Stove pipe/crsde box (circle one) <br /> Drlling Commny.�� cas_ag <br /> ♦ he 4-9 <br /> Or11er. <br /> C-eolasist �M?'=i CCN <br /> Gtaa�d S�v`ad . <br /> erii 7� <br /> Dis ante to sewer i^.e V t• <br /> iL <br /> Domesdc we-,, on site - C Y <br /> if yes, location and distance - 72 't <br /> 3 <br /> • <br /> :c' c <br /> _ o <br /> fIOR�d E i <br /> ikon <br /> Woldingempetarur- <br /> ----------- <br /> Method - — <br /> Scet-ing Method bs =f <br /> T:3e'cag <br /> SPO[LS <br /> ' IAIS/DEc1ELCP*�'C <br /> StorageMehod ��'t� Zf4 <br /> Conor=i adore Noted - C Y � ZYPe 2 <br /> Storage Location +�� G�"yk " BlanYgy Seem Z-d —� <br /> Sloc size <br /> Bags ceme-nc L-49 tttl! <br /> GROUTING Buckets bentonite <br /> Bags sand/gravel - � <br /> Deoh to wake- /2 Fater?aek typesize <br /> . UX Ratios Surge Block: - C Y ®) <br /> l:s'ailadon . C='-od- Disc_ssed -with geologic - (y/ D <br /> Quandt':ns-mUed Type of mec!^od <br />