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MONITORING WELL INSTALLATION REPORT Z3 <br /> Date: ?, tt�� I2o�v4S CONSTRUCTION <br /> Premise Address:_ z t z-L <)lnn�ot�4 (4)� Total Depth_ 50 <br /> Screen Length (from) 36` (to) so <br /> Well No.: mid-16 KA W AAV/-10 Filter Pack (from) 2.Sf` (to)__ 5-b� <br /> Bentonite (from) 6�L(to) z�t <br /> Inspector: J,AA r-61\, Grout (from) (to) <br /> Drilling rig type <br /> Permit No. s3 6 3 y Auger O.D. I.D. <br /> Completion - Stove pipe/christie box (circle one) <br /> Drilling Company:---W-\ ��Is (Z <br /> Driller:_ 144 A4 casing <br /> n ' _ height <br /> Consultant31,d <br /> LIZ <br /> GeologistON <br /> ABOVE-GROUND <br /> COMfPLE710N C�iAISTI'-80X <br /> COMPLETION <br /> SPECIAL PERMIT INFO. Ground Surface <br /> Distance to sewer line grout <br /> Domestic well on site - (y/ ZG ft. <br /> If yes, location and t s ce - <br /> q <br /> C <br /> SAMPLING t ° <br /> to tted � <br /> aacaon -' � <br /> Holding Temperature_ aj,\ Lr.� <br /> Method__" ( r6ar, pnvel Pack <br /> Screening Method <br /> .H <br /> Tracking Sheet n ) — <br /> �s6-6 <br /> SPOILS <br /> Storage Method - MATERIALS/DEVELOPMENT <br /> Contamination Noted - (y n <br /> Storage Location__ c ,st't� Casing type Z „�,VC Sri(n YD <br /> Blank 30 ft. Screen ft. <br /> Slot size b LCA <br /> GROUTING Bags cement <br /> Buckets bentonite 6 <br /> Depth to water Bags sand/gravel S• <br /> Mix RatiosjeAAtAj4qFilter Pack type/size 2 IZ <br /> Installation Method / Surge Block: - (6/ n ) <br /> Quantity Installed ,v 5 ScX(Q.E ., Discussed with geologist: - ( y/0 <br /> Type of method <br /> EH 29 29 <br />