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%MOO �a�� r OF <br /> MONITORING hEELL TNSiU-j-ATION REPORT �rj t�� � <br /> wood 4 rad �-�'1�� <br /> J r t 1!�.►-.� : Lo r r� Son-A,'n i <br /> Y q z 4 a(a r Arro a <br /> ��-n <br /> Date: sl �ONSTRUOWN <br /> �r, a ?-D(/9 <br /> fir. C 27 Zd d 9 rr f' Asa <br /> Premise � ;3 <br /> dd_ess: 21 2 'Tarn;4, S�". Well No. OM - � D <br /> Inspector: l Total Depth 6y-�'irrGrn.rr�l�U�S,rC6J���t�� tat <br /> Screen Length 0V_-_ <br /> . Ater Pack 8S ' — /B ' <br /> 8, -PeSentonite Pellets 48,- <br /> Permit <br /> rinit No. Grout (o.5, <br /> Consultant E o yl*Z wr&ale Como ietion-Stove pipe/ ri stie box <br /> Geologist A - Sf-rw1vi <br /> Auger O.D. <br /> .�%uger I.D. d <br /> Slbf°LING <br /> sildc�p <br /> 'rold:,r:g Tem^erature <br /> MethodAl <br /> I T;F <br /> Scre=ening Method Pa t7 -all ►U n +3 4,3 ' <br /> ABOVE-GROUND <br /> Tracking Sheet On) <br /> Cxound Surf act COMFILFTION <br /> SPOILS <br /> �r,/ 11 4r� <br /> Storage Method__ 07 �i� G�Ydlftd OWI/r—, <br /> Contam: nation Noted - yesft. <br /> - <br /> Storage Location fmft <br /> F <br /> SPECIAL, PEP-MIT INFO. <br /> c. <br /> 0 <br /> :lotted <br /> [ <br /> Distance to sewer line_ i1� h QW� Bataan <br /> I <br /> Domestic well on site - yes/(55 <br /> VIYS4 pack <br /> I., yes, location & distance - <br /> _41 <br /> I� <br /> IRS~_it. ' <br /> GROUTING Co-mafvdh�r C4-S_ f <br /> USe-d -4 6e"aj df-�rov)- <br /> 1 bctitlh 80o�Il.+,alfza , M T�gTals USED: <br /> /4ug71L Quikrerc Par'I-t <br /> �ept;� to water2 Casing type 11 i r��e <br /> Rat;os7-b ��_'9010,-j <br /> -2� 3lan_{ . t. <br /> installation Method 0rSlot size <br /> � - - �a F Scre6n—Z S- f- <br /> q�py �i <br /> :tit'1 Ins tat led b. p U Bags cement { pe►'rla <br /> Buckets bentonite5l7-/ C to � <br /> �P"O( d-2: <br /> Pure �rr"( <br /> -sacs sand/crave <br /> Filter Pack type/size 4-- 3 <br /> 3tal Billed Time Per Site <br /> .te 'exr.?*. Finalized <br />