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r'46NITORING WELL INSTALLATION REPOR,,,,.,' <br /> Date: U `t 2 CONSTRUCTION <br /> Premise Address: 13� S ���"e V Total Depth cioe)c <br /> �n Screen Length (from) co O (to) . <br /> Well No.: I "1 P) Filter Pack (from) _(to)� <br /> Bentonite (from) Jto) <br /> Inspector. Grout (from) 2S t to) <br /> 0 G�, <br /> Permit No. q 2' ✓ <br /> 2 Drilling rig type M�t Le i A <br /> 5I� Auger O.D. I.D. <br /> Completion - Stove pip u•istie ox circle one) <br /> Drilling Company: V\v� hG V Q'C'f- '�1�2 I� <br /> Driller: Rc3 FUbr,oVJ 6rt[UQJA Iti - WUI�'l� •� casing <br /> T height <br /> Consultant GrnU k,t -RcK . 1!4 '0' —qw-F <br /> Geologist :TGS Ov1 O�cl, .- <br /> AZZ -GACUND CHA7ST 4= <br /> CCMPLEfICN COMPLETiCN <br /> SPECIAL PERMIT INFO. Ground Surface <br /> Distance to sewer line ` 5 Grout <br /> Domestic well on site - (y/ n) J I <br /> If yes, location and distance - ft, <br /> SAMPLING •loro.i Y <br /> r = <br /> savicn �• — <br /> Holding Temperature �-ld e Uc4e- <br /> pack <br /> Method �{'Q. GVH L _ <br /> Screening Method 1)Vt4 <br /> Tracking Sheet - (y/ n ) rr ^ _— <br /> �SL..ft. <br /> SPOILS �l <br /> Storage Method `� MATERIALS/DEVELOPMENT <br /> Contamination Noted - y n ) (( v� <br /> Storage Location 110'1 Casing type_ <br /> \N e C+ 0L)t V (V-\-) Blank 3� ft. Screen <br /> Slot size -2-0 <br /> GROUTING Bags cement Il LIQ <br /> Buckets bentonite SAT <br /> Depth to water TW Bags sand/gravel <br /> Mix Ratios `d�e, � " 5o�aQ d Filter Pack type/size <br /> Installation Method -Wzfm&vu!_ Surge Block: - (y <br /> Quantity Installed �' Discussed with geologist: - (y n ) <br /> Type of method (Q 6 JCS <br /> EH 29 29 <br />