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5, <br /> MONITOR WELL CONSTRUCTION• <br /> Logged By: r 1449" Client:�s�rlMex <br /> i . 9 Drilling Contractor: c r / / Locatlon: Q- <br /> ` Driller's Name: Job Number: <br /> Well Number: DatelTime: Slart Finish, Comments (Lost circulation interval, Water level changes, Hole collapse interval, etc.): <br /> Depths in Reference — <br /> ,, , to Ground Level <br /> ' Top of / <br /> Protective Casing-- Locking Cap <br /> r Protective-Pipe <br /> . Q Type; Diameter— <br /> Top <br /> iameter Top of Well Casing <br /> CemenllGeavel Pad <br /> Top of Cement <br /> Bottom of <br /> Protective Casing 's <br /> Ground Water - ---- <br /> Type of Grout <br /> C� <br /> n' <br /> Casing: <br /> Type l✓ <br /> Diameter <br /> Couplings: <br /> +; Type C <br /> Number <br /> Depths <br /> Top of /�,0 <br /> i 8enlonile Seal Type <br /> � � ,� / YP of Plug <br /> Top of Gravel Pack /sod <br /> l0QQ <br /> �5,�� Gravel Pack: <br /> } Top of Screen — Material <br /> Screen: <br /> Type V <br /> Olameler — <br /> t�:�i>S - = Length <br /> 'r 7. <br /> :4<,u;•,;. __ = Slot Site - <br /> 01 _{ <br /> Bottomof Screen J✓ U <br /> —�� — Bore Hole Diameter <br /> { Total Depth <br /> ° of Sore Hole <br /> NOT TO SCALE <br /> , <br />