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stool, <br /> MONITORING WELL INSTALLATION REPORT <br /> Date: O.U.0. d/ / y' t � <br /> I CONSTRUCTION <br /> Premise Address: i.?79 E �� a. � Well No. Ylf C.J-fA <br /> Inspector• Total Depth 3S ' <br /> Screen Length F 35 7-t. f.i <br /> Filter Pack Fah <br /> Permit No. <br /> Bentonite Pellets_rwj Consultant Grout - <br /> �' ,;ter G. ,.��c�� 4stie <br /> Geologist � Completion-Stove pipe/a�"P.� � �;;,� <br /> Auger O.D. $. Z s <br /> SAMPLING <br /> Auger I.D. <br /> Holding Temperature Y a G sddt-up <br /> Method <br /> iv <br /> Screening Method_._._nb:51CA�Jli <br /> ��— <br /> Tracking Sheet (y n) ABOVE-GROUND COMPLETION CHRISIY4)OX <br /> COMPLETION <br /> SPOILS around Surf=@ <br /> Storage Method_ c� /.'gyp( <br /> Contamination Noted - (l /no ft. <br /> Storage Location Onf <br /> M <br /> SPECIAL PERMIT INFO. <br /> c <br /> o <br /> dotted <br /> Distance to sewer line section <br /> Domestic well on site - yes/no <br /> If yes, location & distance - gmvWpack <br /> ft. ft. <br /> GROUTING <br /> MATERIALS USED: <br /> Depth to water � � Casing type if .. SCW ' <br /> Mix Ratios Blanker ft. Screen /t ft. <br /> Installation Method Slot size l <br /> Quantity Installed Bags cement <br /> Buckets bentonite <br /> Bags sand/gravel <br /> Filter Pack type/size *.3 <br />