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MONITORING WELL INSTALLATION REPORT- <br /> Date: <br /> EPORTDate: Z�' �Y CONSTRUCTION <br /> Premise Address:_ �j)�/�, (,G�('6r/\iq, Total Depth 0 <br /> —. Screen Length (from)• O (to)-?b <br /> Well No.: (� ' Filter Pack (from) (to)-7,C) <br /> Bentonite (from) _ (to) <br /> Inspector: ���+'►�/ Y Grout (from) (to) SS <br /> Drilling rig type (Ate 7 S Lig <br /> Permit No. Auger O.D. R YS I. . <br /> Drilling Company:— W eff &A.4 <br /> Completion- Stove pi • s e o (circle one) <br /> (1 <br /> Driller: T oe casing <br /> height <br /> Consultant pp <br /> Geologist b riaA -( 'lh4✓l ._ <br /> ABOVE-GROUND <br /> ccwFLETICN C7 W15'fY�OX <br /> SPECIAL PERMIT INFO. Grourd Surfaces COMPLETION <br /> Distance to sewer line grout <br /> Domestic well on site - (y/0 s� <br /> If yes, location and distance <br /> (Lp ft. tt. <br /> SAMPLING n D 5 urP I n5 ,la road = o <br /> &Q-Clan = <br /> Holding Temperature = <br /> Method _ = g"y-W Pack <br /> Screening Method = <br /> Tracking Sheet - (y/n) <br /> 70 ft. = 7a ft. <br /> SPOILS <br /> Storage Method I MATERIALS/DEVELOPMENT <br /> Contamination Noted <br /> Storage Location_ Casing type cyl /�u <br /> 4/0 f"V <br /> Blank 6 U ft. Screen <br /> Slot size ' 07.1-0 <br /> GROUTING Bags cement /0 t-05 <br /> Bucke b tonite i's �� <br /> Depth to water 0 Bags an gravel_ s <br /> Mix Ratios t gN CBh� Filter�� e <br /> Installation Method typ / ze - <br /> ......----- -----..._. ... . --------- Surge_Block:�__n_) <br /> Quantity Installed <br /> Discussed with geologist: - (y/n) <br /> EH 29 29 <br /> Type of method <br />