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5e�t 'S;L41 y <br /> L <br /> MONITORING WELL INSTAI-LAT10N R U---LT M sL <br /> M 4 <br /> O�f 4S }9w+Zr A►.�h <br /> � 5wY.2- Si <br /> o CONSTRUCTION <br /> Date 1 ��'� — vS 5 _s•�t 1 <br /> -Pre-mise Address:_��� S � Total Depth_ O <br /> - l Screen Length (from) (to) L o' <br /> Well No.: cn� Filter Pack (from) L y ' (to) 5$' _ <br /> Bentonite (from)_ 2 _(to) SS <br /> -- Grout (from) 5 S (to)�w r� � <br /> Inspector: `r°`lv� c '" <br /> Drilling rig type _- 't <br /> rF AugerO.D. T-D. <br /> Permit No. Completion - Stove Qipe/cizristie box (circle one) <br /> grilling Company: �� tn�.c�-� o��o�w��'lj <br /> ' casing <br /> Driller. � tteighr- <br /> Consultant <br /> Geologist r ezr ABCV=E_43RC(JNO <br /> c_,_)f 1pL-:k:CN <br /> SPECIAL PERNU 7 INFO. Cxnurld Sort <br /> r � <br /> grce.•i <br /> Distance to sewer line <br /> Domestic well on site - ( y/ Q ) S , - <br /> If yes, location and distance - <br /> 3 <br /> - M <br /> SAN[PL ING S t.` <br /> sac cn <br /> Holding Temperature LC.c 'LL <br /> Method may` <br /> Screening Method - <br /> Tracking Sheet - C y/ n ) — <br /> ♦ <br /> 4, <br /> SPOILS <br /> Storage MethoMATERIALS/DEVELOPMENT <br /> Contamination Noted - (y/ n ) Casinga i4 <br /> Storage Location_ tom-5��'� — � <br /> Blank Et Screen a- <br /> Slot size 0.0 <br /> GROU-RNG <br /> Bags cement <br /> Buckets heatotute <br /> Depth to water_ O Bags sand/gravel <br /> Mix Ratios > Filter Pack type/size <br /> d � c Surge Block: - C Y <br /> Installation Metho / n ) <br /> Quantity Enstalled Discussed with geologist: - <br /> Type of merhod <br /> EH 29 29 <br />