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Well 'Construction Details;' Well Name: <br /> ig Numbe� Installation - <br /> , � - �, .f (Permanent Well Name) <br /> ;I! `'" � <br /> y� Supervised by:T 1,,>PC e- <br /> r � .a Well Type: EXW VAP VEW <br /> latiari ° Project OBS PZ TST Other: <br /> (Circle only one choice) <br /> Location Proximity Location pescriptiom: <br /> I Company (Inside or Outside Facility) <br /> Geohydrologia Zane: <br /> [:)Aquifer <br /> ❑Confining Layar or Aqulclude <br /> 'ucfion Method h <br /> 5, � ❑Lower or CnnCned Aquifer <br /> IkC•�A 6ttp ❑Perched Aquifer Measuring Point Location(i.e.TOC) <br /> ❑Unsaturated Zone <br /> Method(if different) ❑WaterTable Aquifer <br /> Surface Completion Type�� Ground Surface Elevation <br /> t Well Details <br /> Type/Amount of Grout CoOngT pe <br /> Gallons of Water <br /> -- and Amount <br /> 1 <br /> rs Address Sacks of Cement <br /> U�).chwh Casing Diameter <br /> (.1'1 <br /> Pound of Bentonite <br /> Centralizer Spacing ' <br /> s Telephone: <br /> Type/Amount of and Number Used <br /> Bentonite Seal <br /> /ey Data --Tap of Bentonite Seal <br /> ng —, z Q , <br /> ,*---Top of Sand Bridge <br /> k fJ <br /> Type/Amount o Sand Bridge <br /> �Top of Sand Pack <br /> r <br /> Type/Amount of Sand'Pacl; )D <br /> or Coordinates Ttip of Screen <br /> ) � r <br /> Screen Type and Length T <br /> inate System �r.:�� Filter Pack Length <br /> Iran Point Elevation Bottom of Screen <br /> 9 Screen Slot size , <br /> Screen Diameter Total Well Casing Depth <br /> (Company <br /> Screen Percent Open - <br /> Borehole Dl eter*--- Borehole Depth <br /> 0 Data Screen Material <br />