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Well-Construction Details,• Well Name: I �. <br /> (v`wPermanent Welftame) <br /> ng Number Installation <br /> �•� Supervised by:�L,a� <br /> Well Type: EXW VAP VIEW 420) <br /> Ilatiog Da$e Project . 3 •SS PZ TST Other: <br /> (Circle only one choice) <br /> tcv—tE <br /> Location Proximity Location Description:_ 34 <br /> j Company (Inside or Outside Facility) <br /> Geohydrologic Zone: _ `� _b L <br /> []Aquifer C r <br /> ruction Method []Confining Layer or Aquicludey„, S <br /> []Lower or Confined Aquifer <br /> ❑Perched Aquifer Measuring Point Location(i.e.TOG) <br /> []Unsaturated Zone <br /> g Method(if different) El Water Table Aquifer <br /> Surface CompletionTyperV' Ground Surface Elevation <br /> Well Details <br /> Type/Amount of Grout Casing Type �] <br /> r: Gallons of Water 5d4I V Po C— <br /> AWAAftR and Amount <br /> is Address Sacks of Cement <br /> U Casing Diame <br /> Pound of Bentonite <br /> Centralizer Spatting " <br /> is Telephone: <br /> Type/Amount of <br /> Bentonite Seal and Number Used <br /> (ey Data "*- —Top of Bentonite Sea <br /> ng <br /> Top of Sand Bridge <br /> Type/Amount of Sand Bridge k: <br /> �Top of Sand Pack I <br /> Type/Amount of Sand°Pack <br /> or Coordinates Top of Screen <br /> 1 <br /> �a - <br /> Screen Type and Length <br /> nate System Filter Pack Length <br /> firing Point Elevation Screen Slot size Bottom of Screen <br /> 0,n� <br /> Screen Diamv <br /> �Company Tote!Well Casing Depth <br /> • 1 <br /> Screen Percent Open <br /> Borehole Difameter — Borehole Depth <br /> �Dfat'e� Screen Material �_11 <br />