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WELL INSTALLATION AND CONSTRUCTION <br />Method of well completion: Primary filter pack ; Secondary filter pack <br />Type of annular seal ; Type of surface seal (C67); ; <br />Protective casing (locked-, unlocked-) <br />Method of well installation (C65): Type of finish (C66): <br />Date well constructed (C21): Driller: <br />Depth of well (C28): ft Depth to bottom of casing (C74): ft <br />Casing diameter (C79): in. Casing material (C80): <br />If PVC used in construction, was glue used? YES NO Remarks <br />Primary aquifer (C714) Source of information: geology map, topo map, outcrop, drilling log, other <br />Method of well development (C69): <br />Well-construction integrity checks: Date(s) Type: <br />Pump Type: HP: Capacity: <br />Pumping during normal use (if data available) <br />Approximate frequency (daily, monthly, yearly) <br />Approximate pumping rate (gpm): Range <br />Approximate duration (min, hrs): Range <br />Comments: <br />Mean <br />Mean <br />WATER LEVEL <br />Hold Hold Hold <br />Cut Cut Cut <br />+/-mp +/-in +/-mp <br />Water level, in ft below <br />LS (C30 or C237) <br />Water-level status (C238): <br />Figure 1. Example of a well-inventory form for the National Water-Quality Assessment Program--Continued. <br />17