Laserfiche WebLink
vv~.xacucc .7crva~a <br />SiteNwnba: i~ L~" <br />Site Name: ,~ ~7 - ~! l "Ll ~ vU2.. <br />State o ~ e o a <br />Plane Coordina6e: X ~ Y, (m) Latiduie: , - - Longittade: - - - <br />Surveyed by: <br />1~~COIItt8C[Pr:~ )it~'~`-Y 1Garyk~~jc J_v. ~.dllf <br />Consulting Firm: ~~'~'~'~ue:ca.e~ -~G•rZ.-r~S <br />Waning Method: f ~' f <br />Lngged$r~ ~ KI?c.rli <br />Report Form /,, <br />Completed I3y: > ~ /` e~~ w <br />ANNULAR SPACE DETAII.S <br />Type of Sruface Seal: ~ ~r~a21.s~ <br />r <br />Type of Ammar Sealant . ~5 d-t~r~~lca~ k- <br />InstalhrtimMethod: /a~Lrx1,z <br />Setting Tirmer <br />Type of Bentoni0e Seal - , Pdlet, Shan <br />(ChomeOa) <br />lnstallatimr Method: / n=tsa.t t <br />Setting Tmne: // 1 <br />Type ofSsadPm9c L{J~ Sr<av~r/ <br />Gram Size: ~"r ~- (-Sieve Size) <br />Imta0ation Method: / p'=rvu <br />Type of 13ackfill Material: L it ~FiKU <br />(dap~icaDk). <br />Instanadon Metlwd: <br />WELL CONSTRUCTION MATFRLIL <br />(tAoose om rypeof nateriei for earl meal <br />~- ~`l'a;tfr~~s~' <br />IL lieWUradon #: <br />Well #: ,) ~.~`~-[J4>I <br />Ihilhlr `?ctl tz i~r ~tu¢~ r' Y':~5. L-NC:, <br />Ihilliog Fluid (Type): ~' r ~ [:~', .t~-!"' <br />17ateStarted: ~' ~~'' -U.? I)steFinished: /-/'~ `'~ <br /> <br />Elevate Depth (.O1R.) <br />(~LN B~ <br />+S T~ of Pmtedive Casing <br />J,.S ~ r~ 6:> TopofRisvPipe <br />._ (,7 -- Gmmd Surface <br />D•3•i3L-5 Top ofAmulm•Sealant <br />Smtic W~ Level <br />D:i ~ L } (AfterGlempleaon) <br />~~' , Tc~rofSeal <br />1US ~ Top of SandPac~t <br /><<~'F~ Topof3crxn <br />~ 3 5 ~ Hottom of Screen <br />-~3`c>„J Bottom of Welt <br />~'r l3ottornofliorehok <br />Refcmcod b aNatiaoal (kodcce Datmo <br />CASING MEp3URMENTS <br /> <br />wen ~.,ompreaon neproR <br />Well Compldim Form (r'evisod 07J(16nD2) <br />