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07/24/95 16 22 GFIISTRATEGIES -i GSI-DUBLIN D04 <br /> WELL ArVrLOPVIzwT FORM <br /> Page of <br /> I�IIItiiR7�saA, errtrsx resat�,Rs::Qs=r':w wrcrr�r�s■t srar ssaerakar wcr rk i.CaC�ie r.anac eRsabs.e r�sss==ss�rr r�sar��-cs 70 <br /> (to be filled out in office) CGS G <br /> Client U-AA0L&4 SS# LN (7 dt/ <br /> Name Ski& &.rko- LO C a tion --�� ?� t�• �►�'+AV-AAC. j rr../ 44,%... <br /> well'11— �5 SG}eened Interval � � <br /> Depth_ _ <br /> hcruifer Material 4SGW- 0,J l Znstallatlon Date <br /> l� <br /> Drilling Method� Borehole Diameter <br /> Comments regarding well nstailat10n <br /> S���c;q atec�aass���e�ccCscc etel Wi sk>:��a=a m�ye ac sp�wz�rd�a�:�C L.:�.iQr'IQi�Q y����--,;;kzCags m[f�m�L-C==����,� <br /> <to be 'galled out an the field) EG-R] Name - C! V) k <br /> Date -� Development Method Gi V- G( f/ ` <br /> Total Depth S2% - Dep-h to ?�quic 7L0•_ - WaterColurrn � <br /> OP duct thickness1,2 14L j <br /> x 00 j X x 0 0408 . , orals <br /> Water Column Diameter (in. ) -Vol <br /> Purge3 '-3-Start'----1?- �._-_-____stop., - � --------------------------------l.-e <br /> Gallons Time <br /> imCG�G � Temp. P , �� Gcar}du ty.,�.tir3ty <br /> cr. <br /> l `7 <br /> -� —0 <br /> 4C,C <br /> C,)-�( !�L�' <br /> Total. gallons 4-erovea -a. ,�2 Development stop tjine- �-- <br /> nepl"'n to at 8 <br /> 0 * x of orate: f� Water discharged to /"�✓� �`� <br />