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Well Owner, Transit Mix Concrete Co. <br /> Permit Number: 56847-MH <br /> Form Name gws-31 <br /> Page Number 3 of 3 <br /> Hole Number LTC-GW-6 <br /> VrM2ane 135 Gtoul(BMtpltltt <br /> Gsln!Top Pack Mte l Screen Wl11 Ye9E)PempM!Infprmatlan <br /> wd1t0 r3evatlan flpKam M41er14i CMT <br /> Tap Deph ch-1,ls Depth $411c Water level <br /> Eattfn�(mJ NoN,ta� fh) ENo.'Gt bNawDept Gl i0 below Gl (We ❑me below Top of wNI YNItl McNotl O>.ratlon <br /> lft) tit) Gs{rt�(Et) (GPM) (1/e5) <br /> 0 Iftl <br /> 19 Grant <br /> 19 219 9eMonde pellets <br /> ,TCGWi 509,911 4,278.550 6,793 219 29 1I-20 sand N/A 1 24-29 9/21/2017 2 15 PM 82 918 Peristaltic Pump 2 <br /> 29 397 emronrte Pallets <br /> 1397 49 12-20sand NIA 4445 9/21/2017 2151M 335 1 05g/hr I Bader & <br /> •All ODEX Casing has OD of 6 5/8'and wall thickness of 114" <br /> •"All CMT Casing has OD of 1 7"anC wall thickness of 0 14" <br /> *Screen Mesh Size is JS Standard no 100 <br /> Grout Mix by weight <br /> Portland Cement 1 <br /> water 2 5 <br /> Bentonite 0.3 <br />