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MONITORING WELL INSTALLATION REIytLT <br /> Date:- ��/89 CONSTRUCTION <br /> Premise Address:jJf y /3 26=gA I 57o c Total Depth 6 <br /> Screen Length (from) (to) Q <br /> Well No.: ��� 1� � t '�" Filter Pack (from) (to) <br /> Bentonite (from) (to)-?7_ <br /> Inspector: Grout (from) 37 (to) <br /> Drilling rig a 'i _ <br /> Permit No.�1� � 7�$8 Auger O.D ~ I.D. <br /> Drilling Company: <br /> Completion- Stove pipe/christie bo (circle one) <br /> ��q <br /> Driller: casing <br /> height <br /> Consultant L'0�. <br /> Geologist '^ <br /> ABOVE-GROUND <br /> COMPLETION C#iMM-BOX <br /> com EncN <br /> SPECIAL PERMIT INFO. Ground Surface <br /> Distance to sewer line LA11 � w�7 grout <br /> Domestic well on site - (y/n) /u-Wt 37 <br /> If yes, location and distance - 39 <br /> ft' <br /> 7'b ft. ft. <br /> a,�/ � <br /> SAMPLING /" - <br /> A• N° 7>� - Opp <br /> ^-*' <br /> •�: � <br /> Soil aff) saction = <br /> Holding Tempera = �,,,�pack <br /> Method <br /> Screening Method <br /> Tracking Sheet - (y/ n) <br /> ft. <br /> SPOILS Tn (.'q <br /> Storage Method S qA-k '�10 MATERIALS/DEVELOPMENT <br /> Contamination Noted - (y)&) 1 2/r flr ) f/ <br /> Storage Location � � /1-c.a�.c- �`7 O�P y Casing type "tom <br /> Blank CO ft. Screen ZO ft. <br /> Slot size •0M <br /> GROUTING Bags cement 7 <br /> Buckets bentonite <br /> SV- <br /> Depth to water �� '`/7/ e61 Bags sand/gravel /?.S- <br /> Mix Ratios /r1 Filter Pack type/size Z /v <br /> a Block: - (y <br /> Sur Fxs <br /> Installation Method 42-444 -A— _ gQuantity Installed Discussed with geot: - oy <br /> Type of method <br /> EH 29 29 <br />