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A=COM Well Construction Details Well ID: <br /> Date Boring ID: <br /> Supervised by: Installed: <br /> Installation: Project. Event: <br /> Drilling Company Location Proximity: Location Description <br /> On Depot/Off Depot <br /> Construction Method Measuring Point Location (i.e.,TOC) <br /> Drilling Method (if different) _ <br /> Surface Completion Type — — Ground Surface Elevation <br /> Well Owner <br /> _ Well Details <br /> Type/Amount of Grout — _ Blank Casing Type <br /> Gallons of Water —Well Owner's Address — <br /> Sacks of Cement — — and Amount(ft)Above Screen <br /> Well Owner's Telephone Pounds of Bentonite — — Casing Diameter(inches) <br /> Survey Data — — Centralizer Spacing <br /> Northing <br /> and Number Used <br /> Easting Type/Amount of Bentonite Seal = <br /> 777. Top of Bentonite Seal (ft bgs) <br /> Units for Coordinates ff <br /> Type/Amount of Sand Bridge <br /> Coordinate System <— Top of Sand Bridge (ft bgs) <br /> Measuring Point Elevation/Units ':': <— Top of Sand Pack(ft bgs) <br /> Type/Amount of Sand (Filter) Pack <br /> Surveyor/Survey Company Top of Screen (ft bgs) <br /> 0 <br /> Survey Date Screen Type and Length Filter Pack Length (ft) <br /> U <br /> Bottom of Screen (ft bgs) <br /> e Geohydrologic Zone <br /> ❑ Aquifer Screen Slot Size <br /> L) Confining Layer orAquiclude Total Well Casing Depth (ft) <br /> E ❑ Lower or Confined Aquifer Screen Diameter <br /> ❑ Perched Aquifer <br /> ❑ Surface Aquifer Screen Percent Open Borehole Diameter Borehole Depth (ft bgs) <br /> ❑ Unsaturated Zone <br /> ❑ Water Table Aquifer Screen Material <br />