Laserfiche WebLink
F <br /> MCr„ CRRNG WF_i.L iNS-,ALL. :70N ILE2CR i <br /> E' <br /> Date: CONS-L-RIUC'CION <br /> Premise Address: TO& Tocal Depth } <br /> Seen Length (from) Ham` (to) 2✓� <br /> Well No.: �L' Filter Pack (from) ±141 _(to)� <br /> / Bentonice (from) 3 (to) Z t <br /> Inspector. L S i Grouc (from) 1 Cto) - - <br /> Permit X10__ <br /> Drilling ng type <br /> �Z" Auger O.D. <br /> Complecoa - Scove pig chr.,4 bax c• 'e one) <br /> Drilling Corepanv- <br /> ♦ �_ casing " <br /> Drller: I height + <br /> Corsuluar <br /> Ceaio sr A/) ,ti3C+lSvRCc:*t�J �I G, tS Y-BCX <br /> CC P'_`T 3CN ccMP � c. <br /> G=r)d Seca <br /> S?Sri At ?cp-M- 7 INFO. 1 <br /> �rout <br /> Distance to sewer tine rrr 1 <br /> it. <br /> Dornesdc wed on sire - C Y a) <br /> If-yes, location and distance - <br /> - <br /> <A M <br /> JJ o <br /> SA1IVI?L:NC <br /> Eloldi±.; Te peva er <br /> ack V tCrF� ""' _ <br /> Method — <br /> Screening Medhod � <br /> Tarring Sheet ( Y/ n } Brom _gar—, <br /> gar— • _ IVO —ft. <br /> SPOIL <br /> Storage Me.hod MA 1_�?AL5/DEVBLOPNE <br /> Contamination Noted -(D�v n) <br /> Scora;e Location ming typj <br /> Blank Zr AfWA Screen ft. <br /> SIot size <br /> GROG ANG Bags cement <br /> Buckets bencoruce <br /> Deo[ [o ware- Bags sand/gravel — -� <br /> LlILC Rados Filter ParkCYDe/512 Pf <br /> I-ascallaton Me rod Surge Bloct: - C Y <br /> Quant'.^/Installed Discussed wide geologis:.'I j%4-� n ) <br /> + Type of me:.zod <br /> a �I} <br />