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M0 1RIVG WF..I.I. NNS TALL: 70N RE)ORT <br /> Dace: Al A--g6 CONST�UCi7ON � <br /> P-e:r:Ise Address: ZJjV11 Total Dept <br /> Sween i.e.^,'.g»h (from)_ ;5'©, (t°) <br /> Well No.:�Z Filter Pack (from) (CO) <br /> Sentonire (from) (to) <br /> [nsoector. G� -� Grout (from) (to) <br /> Drilling ng type <br /> Per=ic No. Auger O.D. LD. <br /> Comoledoa - Stove pipe/c't estie box (circle one) <br /> Dedli,-to Cornpany: <br /> • � � ,l he?ghy <br /> Cors;.tlt-.tGSA <br /> CI <br /> G e 0 10 S"S zI",--�A A 12 /112 A3C'F arr1CCND <br /> C4-GLn^TY-3C X <br /> C�MPt.,c i CCN <br /> Ground Su`acs <br /> S?ECiar PERMT INFO. i <br /> Qroct <br /> Distance to sewer line 7 <br /> Domestic well on site - ( y/ n <br /> If yes, location and distance - ' <br /> G <br /> glor.ad m <br /> SAMPLING <br /> Holdi.^,g T eazoeracure <br /> Method <br /> Sc:eerung Method = C <br /> T.acking Sheet - ( y/ n) <br /> SPOILS <br /> Storage Method dYr/s NEA T=RI j-S/DEVcLOPISNr'T <br /> Concaminadon Noted n) <br /> Storage i.ocadan Casing type <br /> Blan-ti ft. Sc:een_Lp --- f» <br /> SIot size 4->Z-5 <br /> -GROUTiNC Bags cement <br /> Buckets bentonire <br /> Deodh to water Bags sand/gravel <br /> ME.Y Rados Filter Pack rype/size <br /> lns;aliat:an VIe::.ad Surae 3Ioc�: - <br /> Quandty Installed Discussed with yeologisc. - ( y/ n ) <br /> Type of meaod <br /> 3 Q <br /> T <br />