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Well Construction Details' WellName: l, � - <br /> (Permanent Well Name) <br /> ng Numb_g• Installation Supervised by: CAP <br /> t`�r Well Type: EXW VAP VIEW <br /> Ilatior}paka Project N? ■Url1 064-10Sf C, OBS PZ TST Other: <br /> VaIV— (Circle only one choice) <br /> Location E'raximity Location Description: nr S;1° <br /> g Company {}nsido or Outside Facility) <br /> 1l(� Gtohydrologic Zone: <br /> []Aquifer <br /> []Confining Layer or Aquiclude <br /> 5,Sucid Method ft ❑Lower or Confined Aquifer <br /> ❑iKe..+r�+■fyl ��� Perched Aquifer � Measuring Poirit Location(i.e.70C) <br /> []Unsaturated Zone <br /> g Method(if different) ❑WaterTable Aquifer + <br /> Surface Completion Type�'f'r Ground Surface Elevation <br /> s� yc.:, r y c- <br /> ! Well Details <br /> Type/Amount of Grout, Casing Type <br /> r: Gallons of Water <br /> i <br /> and Amount <br /> is Address Sacks of Cement <br /> �.� "). Casing Diameter <br /> Pound of Bentonite <br /> Centralizer Spacing <br /> is Telephone: <br /> Type/Amount of <br /> and Number Used <br /> Bantanite goal <br /> ✓ey Data -4~7nP of Bentonite Seal <br /> ng <br /> of Sand Bridge <br /> Type/Amount of Sand Bridge <br /> ig 7*--Top of Sand Pack <br /> Type/Amount of Sarld Pack {G s <br /> for Coordinates Tap of Screen <br /> Imo / <br /> Screen Type and Length <br /> Inate System ;C'4 VC, r VC Filter Pack Length <br /> wing Point Elevation Screen Slot size Bottom of Screen <br /> Screen Diameter <br /> Company Tata4 Well Casing Depth <br /> Screen Percent Open <br /> Borehole Diameter�� Borehole Depth <br /> 1 Date Screen Material {I <br />