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MONITORING WELL INSTALLATION REPORT <br /> Date: Lt l C�O CONSTRUCTION <br /> Premise Address: (oO Z Cr_N(.F rL V"t r^ Total Depth GC <br /> -- Screen Length (from) 6-9 (to) '61 _ <br /> Well No.: Filter Pack (from) S-+ (to)�— <br /> Bentonite (from) � S (to) 5 , <br /> Inspector: ovvl Grout (from) �, ` (to) 6-6- ' <br /> Drilling rig type <br /> Permit No. SC>L 2 G Auger O.D. I.D. <br /> Al <br /> Completion - Stove pipe/christie box (circle one) <br /> Drilling Company: �� i�►-c�.vA.f <br /> Driller: J cLA. casing <br /> Consultant /,s<,,�f . <br /> T height <br /> 4n -qVT <br /> Geologist — <br /> ABOVE-GROUND <br /> COMPLETION CON <br /> COMPLETION ON <br /> SPECIAL PERMIT INFO. Ground Surface <br /> Distance to sewer line grout <br /> Domestic well on site - /nft. <br /> If yes, location an stance - <br /> ft. <br /> ft. <br /> SAMPLING slotted .= c <br /> sec'9on <br /> Holding Temperature = . <br /> Method = P <br /> Screening M od <br /> Tracking,Sreet - ( y/ n ) c� <br /> SPOILS <br /> Storage Method v-, MATERIALS/DEVELOPMENT <br /> Contamination Noted - n ) I <br /> Storage Location cn4 Casing type L P��- <br /> Blank 5`� ft. Screen l0 ft. <br /> Slot size 0-2-0 <br /> GROUTING Bags cement <br /> Buckets bentonite <br /> Depth to water N 3 0- 3 S �,r Bags sand/gravel 3 j o c d . _ <br /> Mix Ratios Filter Pack type/size -4-3 <br /> Installation Method Surge Block: - (©/ n ) <br /> Quantity Installed Discussed with geologist: - (Cy/ n ) <br /> Type-e€-rrtetlratl <br /> EH 29 29 <br /> `mo. <br />