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� 1 <br /> MONITORING WELL INSTALLATION REPORT <br /> CONSTRUCTION <br /> Premise Address: vl � Well No. � 3 <br /> Inspector: toreen <br /> tal Depth <br /> Length /6. S-S; S- <br /> ilter Pack_.Z46L --3. <br /> Bentonite Pellets _ <br /> Permit No. �� c2 J Grout <br /> Consultant &4,qe `h, Completion ove piehristie box <br /> Geologist <br /> Auger Q.D. <br /> Auger I.D.--- _ <br /> SAMPLING <br /> eek-ftp <br /> Holding Temperature Cts <br /> Method. ��2 <br /> I <br /> Screening Method <br /> J30VE-GROUND CHRISTY-BOX <br /> Tracking Sheet (y/n) COMPLETION COMPLETION <br /> SPOILS Ground�� ��� <br /> grout <br /> Storage Method n. <br /> Contamination Noted - yes/no <br /> Storage Location • <br /> — a <br /> SPECIAL PERMIT INFO. <br /> 0 <br /> slated — <br /> Distance to sewer line a*clnn <br /> Domestic well on site - yes/no <br /> If yes, location & distance - ` <br /> _n. <br /> GROUTING <br /> MATERIALS USED: <br /> Depth to water Casing type <br /> Mix Ratios Blank ft. Screen ft. <br /> Installation Method Slot size <br /> Quantity Installed Bags cement <br /> Buckets bentonite <br /> Bags sand/gravel <br /> Filter Pack type/size <br /> t <br />