GW1--02507_Well Construction - GW1_20240422

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6 ROM TO :,.ntAlAlriT6R 'TIDCM•MS ..: ArATERUAL<"
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to icuifnzal. lhltmictixtVPltbt c, 40 ,,ft 50 ft. _2" ►d 010 SCH 40 • "PVC'
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4 Date 1�`CLif9)�'oanplcled. :9-Z2 24 WeL1JD Mw 142
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bentonite.sea- l'from`34-36:
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1 b Latitude and L�ongttudc in:do cs/m1uutc ccondtnr decimal d(grces, 2
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6• Is(&rt)thr teU{s) Perms►Went ar DTentjiarar}•
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rr{ttrlrirrrfr+$ 1.rcrnurks se,im n ar o i tl b eL of rLts jgrm 23 Site diattraut or nddltlonal S1 eI1 detalic
Yost niay use tt bacb tsi this page to plot life addtptu>at n.lt date d tads oe +€li.
$ tbc>t<of delis rnaistrueied• 1 •consttiieuon�t tags You;may aLsO etta�h.:iitdiuonalpa es cf r> wren
Form rtrfp•ff llife jij ,f f area i*?:- rrpptr ieells•O rg:-:#10:rlir urmr edtrstrucilorr;6'4,F can �.
swbnrlr{snr jomr:. • SY1$�lfCl`7i tN��'1TG77Q�1iS .
9 Total•well depth bLlors!anal surface: 50• (air) 244•• ltt►r Alt Wells+ iibmit tins fnalr►F7tban 4 s of evmpiettan of } !
•Fornw itnla a l ili.iiii lep 411:ctf krrrittrrnn is 3 °crr&'2 t a}. r,
• Ztt StsitletiAater fc'tel ••••- tt )..• Di iseon of Water Re ourctt,Liforanataa tl Ptrtce!tsin Linn;
IbxahTcl.m 101/T iOi.nii.rrrc #": 1G17ftladSt tce.Ccater,K ta�h s�I 2161'J-T61?::
i t nrcltale d*ameter•-2 ( ,) 24b {tr in icetton�ye►t ONLY ft1 addition to seaidu► the fatal to tl addt ;►n .
4a atio►e nl5 submit a:caps° f this tonru atlut 30 dart of caaY►illeaon of yiefi
.......................................... cct�st? tioa tb tam fo1l*wuig-
f Water crs JTnderground Injection C.outro Prof rant,,
• POlt WATER,$UPPLY WELLS ONLY . atrr 1iateidb NC r6�9=i63( :
l)[�Lsion a ltesour
'i6361fXatt�arYice tea
13k'1504(m►ti i) 11Tctbad of tcst 24e or VtraterSuppty df tntcCti Wclls�
Also submit one copy of tits fo.; t w thin 30 daysofrompletaottof
13b• Disinfection tape Amount, �5 _ • anon:lac ounts ttlte clt(Unstttta feon to tficC a t1t'dcpartmrnt ?t tttc C >
onstncted
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