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Well Construction Details= Well Name: ,, tile-�`'c�, <br /> (Permanent ell Name) <br /> ng Numbs. Installation <br /> Supervised by:T. [. zppe- e- <br /> 6r r7,0 Well Type: EXW VAP VIEW <br /> latlorl D e Project ,& r.'X �1 '��t OBS PZ TST Other: <br /> (Circle only one choice) <br /> Location ProAmlty—iasole, Location Description: <br /> 1 Company (Inside or Outside Facility) <br /> � br <br /> l Gc�ohydrologic Zone: <br /> Aquifer <br /> action Mefllod +r ❑Confining Layer or Aquicludo f'' E <br /> 5, � �]Gower or Gonfinad Aquifer <br /> `e:n/l` [�Perched Aquifer Measuring Point Location(i.e.TOC) <br /> LlUnsaturated Zone ��— <br /> )Method(f different) ❑Water Table Aquifer <br /> Surface Completion Type---'r Ground Surface Elevation <br /> t' •-- Well Details <br /> Type/Amount of Grout Casing Type <br /> Gallons of Water Sc <br /> un JJL I due <br /> and Amount <br /> 's Address Sacks of Cement <br /> 1 id'r�� Mmeh Casing Diameter <br /> L <br /> Pound of Bentonite p{ <br /> Centralizer Spacing <br /> "s Telephone: <br /> Type/Amount of <br /> Bentonite Seal and Number Used <br /> 'ey Data "4*---Top of Bentonite Seal <br /> ig <br /> *rTbp of Sand Bridge <br /> Type/Amount of Sand Bridge ':: .- <br /> Top of Sand Pack <br /> Type/Amount of Sand'Pack t <br /> )r Coordinates Tap of Screen <br /> I <br /> Screen Type and Length <br /> nate System Filter Pack Length <br /> `� f <br /> I <br /> ring Point Elevation Screen Slot size Bottom of Screen <br /> 4 0�0 <br /> Screen Diameter <br /> Company � _,,Total Well Casin De�th <br /> Screen Percent Open <br /> Borehole Diameter� Borehole❑ept <br /> Date Screen Materlai <br />