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%...,.,NITORING WELL INSTALLATION REPOI--110 <br /> Date: �--5 - dP �/t� v2 '�r `L� CONSTRUCTION <br /> Premise Address: 5, W. Gherrf��,- ,/L(cl� Total Depth 7 7 �ee,>� b S �. <br /> Screen Length (from) 'J'7 (to) '7 Z' <br /> Well No.: MW - 13 '72 Filter Pack (from) 27 ' (to) 70 <br /> Bentonite (from) 7n (to) 4,7-' <br /> Inspector: Grout (from) 67 ' (to) 5ei r V&cep <br /> Drilling rig type f o <br /> Permit No._ nQ 5 C&s; O.D. G i n r.�, r <br /> �" � r` omple'don - Stove pipe lFlu I D <br /> e box_ circle one) <br /> Vv <br /> Drilling Company: D <br /> Driller•_ M�I�Ce: , I Ker7Sp�-. casing <br /> .A--55',.stq r&s ; r i a re MCI Y-b44<' �'o e'r men .1- height <br /> Consultant G`IZ f{ -C; n eSfo�a. �r�.cdycl�ssu, <br /> Geologist Will i�i rc 6 rl s•k% ( C.kh ) .� <br /> A OVE-GROUND ,l <br /> COWLEMON <br /> COMPLE.n0N <br /> SPECIAL PERMIT INFO. (3ramd Surfac-# .....� <br /> Distance to sewer line AU prart <br /> Domestic well on site - ( y/G)) G 7 ft. <br /> If yes, location and distance - 7 ft. <br /> eft. <br /> V <br /> SAMPLING 11orai — <br /> a <br /> socicn <br /> Holding Temperature_ N/� - »,n 4 ru y� >��� Vf-•-- <br /> Method 5j" - `✓� Y lar i c "r -- <br /> Screening Method I )) - Sr- 16 S <br /> Tracking Sheet n ) <br /> SPOILS <br /> Storage Method 5 - �=�� r �Yt ,7�-t-G - MATERIALS/DEVELOPMENT <br /> Contamination Noted - ( y n Z" 0'•41-fi <br /> Storage Location01l s,tc li oZ D �' � Wain �ing type i►�cf' 5,,�,, �, t <br /> Blank 2.. ft. Screen <br /> - /rf�(n- �2,S�Uoun.Gs Slot size 0162-0 11 <br /> GROUTING Sv Pir- �sel-h' C b rc° Bags cement S - -I P Z•IT <br /> Buckets ben 1'ii if° nL SU f b. Pure-61 -IJ8,4 <br /> Depth to water Bags sand/gravel 3 IO 0 -1 b � C614 u% <br /> Mix Ratios eT P�rj� Filter Pack type/size - z z- <br /> Installation Method spy Surge Block: - (y n <br /> Quantity Installed o►��. ��Ti�, Dl u r.�a�fDiscussed with geologist: - ( y <br /> EH 29 29 Qq lb Type of method <br />