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FIELD WELL COMPLETION FORM NIP ^ CNRIS^/ BOX <br />r~ ~[: So;l DI~,I~;~~ A+ RPE/WPM <br />10^ <br />3Z~~"/O• -woJ[CT C~ <br />I <br />wYrw[w: <br />~ rAMAG[wl l.. <br />LOOO[O / ~ [OIT[D <br />~ <br />^Y~ L~ ~~~ <br />^T. <br />~• ~( <br />w[LL R P E <br />MAY[ <br />I °Ai0~ c <br />/ <br /> <br />. <br />/ 1A 4! <br />OwI LLIwG ~ <br />Dr-ww T •~ •~1 <br />• <br />• <br />l <br />c , <br />1 <br />mullw. cwT1 ~If ~ wlLLCw. <br />INCH NOLLOW STEM UGF~R <br />~ LL Q <br />n 11 <br />~7 INCN 1 <br />I~~~'K(!/Q <br />R6~AN~nMMKI+ wOYR! <br />owI <br />l <br /> LL[D: p <br />c wLLOwf o-wwr[w <br /> <br />IJ[[D OYwIwG OwILL1wG. _1 <br />1_ a GALLONS <br />r [TMOO 0/ D[CORTArIw ATIOw <br />-wrow ro owlLLlwa. <br />DEVELOPMENT <br />LOCKING STEEL COVER <br />_:NCN OIAMETCR <br />STEEL CONOUCTCR <br />CASING <br />~t0 ~'eR <br />INCN DIAMETER <br />BOREHOLE <br />LO ~ f!R <br />BENTONITE{£MENT <br />SEAL DR <br />BSACK C£MENTSAND <br />SEAL <br />:0 ~~M <br />'Or~P OF CASIN AT <br />~.L..F"ecT BOV ATi <br />BElO~I GRO LEVEL <br />SI INCN DIAMETER <br />BOREi•IOLE <br />LO I~ 1~ <br />11 <br />INCN DIAMETER <br />SCNEDUIE'0 PVC <br />BL^ANK CASING <br />Y to s IeR <br />r[TMDO OI ~~ - <br />p[V[LO-r[NT: <br />O[V [LO-r[NT <br />e[GAw OAT[i TIM[: <br />YI[LD: TIM[: OAT[: <br />GFM I FROM TO I <br />TI[LD: <br />GPM 1 FROM TO <br />owrc: <br />'Y I[LD. TIM[: _--- -- OATi: <br />GFM (FROM TO I <br />YI[LD: ITIM L: OAT[: <br />GPM IFRQM TO I <br />TOTAL wwT[w w[rOV [o <br />Duwlwc Dcv[l0 -r[NT: GALLONS <br />D[lCwl R10w <br />or TU wtmlTr <br />IR QCLEAR <br />QSLIGNTLY Cl000Y <br />N <br />wT cwo o• <br />D[V [LO-rcwr: QMOO. TURBID Q VERY MUOOV <br />oeow o- N,A <br />wATiw: <br />wwr[w ^GROUNO SURFACE Q TANK TRUCK <br />Dtacw Awc[o <br />I <br />ro: N ^ ^STORM SEWERS <br />' <br />QSTORAGE TANK <br />I <br />l C7RU M5 QOTN ER <br />O[Rw TO wwT[w <br />A FTLR D[V [LO-r[wT: ~~:~ FEET <br />MATERIALS USED <br />SACKS OF Coa1r~C hI'P.~~ ~CrQW4 SANG <br />3 SACKS OF QtJ~Lk Clr-G~C- CEMENT <br />GALLONS OF GROUT USED <br />SACKS OF POWDERED BENTONITE <br />POVNOS OF BENTONI TE PELLETS <br />S 11 <br />FEET Of~INCN PVC BLANK CASING <br />II <br />~~ FEET OFINCN PVC SLOTTED SCREEN <br />FEET OF _INCN STEEL CONDUCTOR CASING <br />YARO'C£MENTSANO IREOI•MIXI ORDERED <br />YARO~ CEMENT•SANO IREDIJ.tIXI USED <br />CONGA ETE PUMPER USEOP ENO AYES <br />NAME <br />wELL COVER USED: Q LOCKING STEEL COVER <br />C CNRISTY eox NI. <br />~OTNER i*~ <br />NOT TO SCALE <br />BEN70NITE{EMENT <br />SEAL OR <br />8•SACK CEMENT•SANO <br />S1'eA L <br />rI :a 5 fees <br />BENTONITE PSLLET <br />SEAL <br />~IO~flR <br />Iw.•oul <br />SAND PACK <br />S to~_ fees <br />?'( INCN DIAMETER <br />SLOTEO (I'`4 5 <br />incnl SCREEN <br />•S to ~_feet <br />~INCIi DIAMETER <br />SCN EOULE eO PVC <br />BLANK 51 LT TRAP <br />~t0~(tet <br />9~TTOM WELL CAP <br />~!eet <br />HOLE CLEANED OUT TO <br />1eR <br />BOTTOM OF BORENOIE <br />~~ felt <br />A//O]'~OITIONAL IN FORM AT_I OeN: <br />1,Oh /~Q e'0~14 PhCQ ~I~~M <br />SI LT TRAP USED? ENO OYES <br />