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MCti� vG W=:.. lNS T.AL_I k:ION R-DORT <br /> Dace: <br /> I0 -2Z-`l2 CONS7RUC70N <br /> ?-e^se address: 2d-L CS Total Depdi �S <br /> Screen Leng-,h (f:om) 115 'I(nom) CEO) to <br /> Well No.: 20 LTZ ::iter Pack (nom) -CEO):�i•S <br /> Bentonite (from) 9.5 (to) 1 <br /> Irspec:or: Grout (Eton) '7• Cto) L_ <br /> Drilling ^g 7/pea— <br /> Permic No. �2 " 3g Auger O.D. - <br /> Completion - Stove pipe/chrstie box (circle one) <br /> ♦ casing <br /> Diller: l o o I ♦ height <br /> Cors <br /> Geologsc J130Y:-GAGY:ND Tt <br /> S�Y- X <br /> ccM?L.=T CN ! <br /> Grind SLeaca <br /> S?SCi A ?ERNTIT INFO. i <br /> �rocA <br /> Discance co sewer line S r► 7,p <br /> Dor::es-c well on site - C y <br /> If ves, location and distance - <br /> — o <br /> slonkd a: <br /> Sr VI?r :NG s.c:on — <br /> ;my*'pacx <br /> Hoiding Temperate = <br /> ur <br /> Method —_ <br /> Screening Method <br /> Tracking Sheet - C y/ n ) lj• 7 = T <br /> S?OILS <br /> Storage Met-hod f MA?rRIALS/DEV-=LOPW. HN i <br /> Cor.;amination Noted - n ,r � ,[ Q� - <br /> Scorage Location �n Casing type s-� ` 6 <br /> Blank I D ft. Screen <br /> Slot size .01 <br /> GROU-I'iNG Bags cement <br /> Buckets bentonite <br /> Deptlh :o water Bags sand/gravel 4 Z - <br /> Mix Rados Fater Pack type/size <br /> Ins:allaron Me,,od DMtz Surae Bloc'-c: - ( y/ n <br /> Quanti.� Installed Discussed witlh geologist: - ( y/(_-R) <br /> T,roe of method ® — <br />