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MONITORINGWEU INSTA-..LATION REPORT <br /> Dater ' cotisu�IotiY <br /> Premise Address;: - 1. .1 ,� .�:L r Tc,a Depr,h <br /> Screen Length (from) Cto) <br /> Well No" Filter Pack (from) (to) <br /> C;E` Bentonite (fr-Orn) (to) <br /> inspector. ''`4� Grout (from) (to) <br /> Drilling rig type <br /> Permit No. Auger O.D. I.D. <br /> Completion - Stove pipe/chms:.ie box (circle one) <br /> Dri1l.4W omgzny: <br /> Driller casing <br /> hezcht <br /> Consul[aUlt - <br /> Geologist .� <br /> A CvE--G 2 OUN, D <br /> CO YP L Er iO N <br /> SPECIAL PERMIT INFO- G=d 5tr`s-* <br /> Distance to serer line qrx. <br /> s.. �•r._ o:. sift: ( y <br /> If yes, location and distance - <br /> fI. <br /> C <br /> 4 <br /> SWDI-J NG tloc a� c <br /> Hold'LngTe er ture)F <br /> Method ld�t <br /> Screening Method _ <br /> Tracking Shce; - (y/ n ) <br /> SPOILS <br /> Storage Method MAT-EPJALSLDEVELOPMl;NT <br /> Cor Lamination Noted - (y/ n } <br /> Storage Location Casing type <br /> Blank f Screen ft. <br /> Slot size <br /> GRQ4MNG Bags cement _---- <br /> Buckets bentonite <br /> Depth to water Bags sand/gravcl <br /> Mix Ratios Filter Pack type/size <br /> iistallation Method Surge Block: - ( y/ n } <br /> Quantity Installed Discussed with geologist: - (y/ n ) <br /> Type of raetliod <br /> EH 29 29 <br />