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OONITORING WELL INSTALLATION REPA9 <br /> Date: 11 . 13•G } CONSTRUCTION ?170 <br /> Premise Address: P64 E Mc m1wtj �Om) iqp Total Depth I 1 g <br /> 46?>Z )4JUD LT# gQR.AJN RZS x+ Screen Length (from) I t (to) L-� _ <br /> Well No.: I I i P� Z 4� 3 i P? 4 Filter Pack (from) 193 (to) I I <br /> Bentonite (from) i I (to) 9 <br /> Inspector: N Grout (from) (to) E <br /> Drilling rig type ZN7MD P-t <br /> Permit No. Auger O.D. 4 " I.D. t, •25" <br /> Comp leti ipe/cltristie box (circle one) <br /> Drilling Company: L112t7�L� <br /> 4-GROUND <br /> Driller: QIC,4 asing <br /> eight <br /> Consultant L�k2'mI+iLL' <br /> Geologist Tnm ibb nh1i4N CHRISTY-80X <br /> COMPLETION COMPLETION <br /> SPECIAL PERMIT INFO. Ground Suctaca <br /> Distance to sewer line grout <br /> Domestic well on site - (y/dP q ft. <br /> If yes, location and distance - <br /> eL ft. <br /> SAMPLING slorai = 3 <br /> taCion —_ <br /> Holding Temperature .AC� ) _ gnvd Fast <br /> Method FtSR awl Pi15w1 >' <br /> Screening Method �ErQr7SFi.15E <br /> Tracking Sheet n ) <br /> SPOILS <br /> Storage Method MATERIALS/DEVELOPMENT <br /> Contamination Noted - ( n ) <br /> Storage Location L„ Casing type SCI+ 40 We- 2 <br /> Blank L2 ft. Screen S ft. <br /> Slot size 0.020' <br /> GROUTING Bags cement <br /> i Buc cntonite I <br /> Depth to water Bao San gravel 2•5 <br /> Mix Ratios SwffG q bs Filter ack type/size t <br /> Installation Method tt, Surge Block: - (y/ n <br /> Quantity Installed klnT WAI)i ;54 4'30 Arn Discussed with geolo ist. - t� n ) <br /> NK1 Wii?k35tU fl-I Pt15/0D Type of method Ny <br /> EH 29 29 <br />