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i <br /> i=5 <br /> MONITORING WELL INSTALLATION REPORT <br /> Date: �/q L U CONSTRUCTION <br /> Premise Address: _x l � Ar r'� J��--rte- Well No. <br /> Inspector: M - LE��.pr) Total Depth &o l <br /> Screen Length .)-51 <br /> Filter Pack mcr -e-I"_e. 4-3 <br /> Bentonites Pellets <br /> dcr3 �� <br /> t. Permit No. l V- 6Jp Grout`eAff a,-.P l 5'La <br /> Consultant am✓ J N� Completion-Stove pipe/christie box <br /> Geologist _ _ _ o._ <br />�. Auger O.D. T <br /> Auger I.D. S l y <br /> SAMPLING <br /> Holding Temperature <br /> otldt-up <br /> Method I ff I <br /> Screening Method IN W <br /> ABOVE-GROUND CHRISTY-BO% <br /> Tracking Sheet (y/n) COMPLETION <br /> COMPLETION <br /> Orourd Surlaca <br /> SPOILS <br /> grout ) <br /> Storage Method�8�C.8�/11r�Ma/t� <br /> i Contamination Noted - ye /no n <br /> Storageocation 8-n, 3S ' n <br /> lNl_- air <br /> P <br /> = P <br /> SPECIAL PERMIT INFO. orwd <br /> o <br /> Distance to sewer line - d"c1doon = B <br /> Domestic well on site - yes/no = grovel pock <br /> If yes, location & distance - <br /> JzS2_n. )Z=ZA In. <br /> GROUTING <br /> / MATERIALS USED: <br /> p <_p <br /> 'Depth to water 5�r Casing typ e �1 i C_ <br /> 'Mix Ratios Blank 3S ft. Screen a2-5 ft. <br />�- Installation Method Slot size <br /> �4 Quantity Installed Bags cement <br /> Buckets bentonite <br /> t Bags sand/gravel_ <br /> Filter Pack type/size dlnYlon <br />