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• <br /> MONITORING WELL INSTALLATION REPORT <br /> Date:/ Z- L <br /> ( CONSTRUCTION <br /> Premise Address:m-�. &U-t, 2 Well No. MW JG <br /> Inspector: fJ(c�, �R Total Depth 'Sl <br /> Screen Lengthi <br /> ^^' Filter Pack1°f Au.':% <br /> y'y� o Bentonite Pellets 1_y� „�,f�.., , <br /> Permit No. `I !� Grout 399 5 <br /> Consultant Cl�Jd`'�ffLC-(i- Completion-Stove pipe/Christie box <br /> Geologist e ,,lzz! cam.. <br /> Auger O.D. /d <br /> Auger I.D. r•/" <br /> SAMPLING <br /> Holding Temperature V'L stick- p <br /> Method (3 e__ _ %u,(.�.: T <br /> Screening Method PD\_ T <br /> ABOVE-GROUNDCHRISTY•BOX <br /> Tracking Sheet v�ln) COMPLETION COMPLETION <br /> SPOILS JJ Oraund SUAocv <br /> Q /� , .�}� prari <br /> Storage Method//k 'k(S r, <br /> Contamination Noted - yes/no i � tt• <br /> Storage Location0>^-S,�'t°'� <br /> SPECIAL PERMIT INFO. <br /> c <br /> Distance to sewer line-ex--41 �qon — $ <br /> Domestic well On site - yes/no <br /> If yes, location & distance - _ <br /> I <br /> GROUTING <br /> MATERIALS USED: <br /> Depth to water YS <br /> P Casing type?Lv Y <br /> Mix Ratios �. �! Blank ty ft. Sreen ( _ft. <br /> Installation^Method wc. Slot size .010 :Wz -Aa ' <br /> Quantity Installed L%Fyc1 Bags cement Ul <br /> Buckets bentonite 1 <br /> Bags sand/gravel <br /> Filter Pack type/size i .t <br />