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ONITORING WELL,INSTALLATION REPO•h C <br /> Date:_ I Ih �p f CONSTRUCTION <br /> Premise Address: , <br /> Total Depth_ �TJ <br /> Screen Length (from) zo_(CO) <br /> Well No.: LM fn) - + p^ t J - <br /> Filter Pack <br /> (from) I X` (to) <br /> (� Bentonite (from)_ /S (to) Lx <br /> Inspector. L AAAC- 4 , Grout (from) (to) 15- <br /> Permit No. <br /> Drilling rig type <br /> Z�6 S Auger O.D. I.D. <br /> Drilling Company: f,Je-,-F <br /> Completion - Stove pipe/christie box (cir <br /> k�rZMn <br /> Driller: casing <br /> Consultant �� height <br /> _ S�Co2 <br /> Geologist r ( bin _ <br /> ABOVE-GRCUNo <br /> COWL_Zr{CN CiiRZ T-aCX <br /> SPECIAL PERMIT INFO CCMPL_`MCN <br /> �--��Ground Sufan <br /> Distance to sewer line Oran <br /> Domestic well on site - ( y/ n ) <br /> If yes, location and distance - ft. <br /> ft. <br /> ft. <br /> _ - m <br /> = o <br /> SAMPLING <br /> alorai — c <br /> soden <br /> Holding Temperature = <br /> Method _ = pavolPOCX <br /> Screening Method = <br /> Tracking Sheet - ( y/ n ) <br /> ft. <br /> SPOILS <br /> Storage Method m asst r�L r_r MATERIALS/DEVELOPMENT <br /> Contamination Note— d—( y%d) <br /> Storage Location rn^ Sl f o^ r,,,,,,,.A (�5 � Casing type 2 " FV <br /> Blank Z U ft. Screen Z O fr. <br /> GROUTING Slot size ' 07-0 <br /> Bags cement <br /> Buckets bentonite <br /> Depth to water Bags sand/gravel <br /> Mix Ratios1 fn- n- n �,. ir7 r Ilio Filter Pack type/size z I Z r ,/ <br /> Installation Methbtl_' n" _ „ i Surge Block: - ( y/ n <br /> Quantity Installed �(, Discussed with geologist: - ( y <br /> EH 29 29 <br /> Type of method <br />