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�,.. NITORING WELL INSTALLATION REPOI� <br /> Date: CONSTRUCTION <br /> 1 -1 <br /> Premise Address: !rn W i- uaro-yW Total Depth 4'eej- <br /> Screen Length (from) SZ) (to) <br /> Well No.: M W Filter Pack (from) S'/) (to) 3 <br /> Bentonite (from) 413 (to) <br /> Inspector: �`�r ay; M 1 a r-4-n�xGrout (from) 4 (to)��--_ <br /> Drilling rig type ` C- <br /> Permit No._ 0 D 5-2 S'7 6 Cas s Aug4r-qD. I.D. <br /> Completion - Stove pip Christie box circle one) <br /> Drilling Company: W <br /> Driller: z VV I a s o r� casing <br /> S.Sis+p,,Aj 5 : r i a-n ImAr ba Ro e4-Jimke.-z height <br /> Consultant C'RPt ('rm�S�'baa -�ov�rt4Rss�, <br /> Geologists �� ►�f�'1C� ��i ��� ) -� <br /> Im <br /> ABOVE-GACUND <br /> COMPLETfON CNAISTY-BOX <br /> COMPLETION <br /> SPECIAL PERMIT INFO. Ground Surfacs <br /> Distance to sever line "� .2 s.� t grout <br /> Domestic well on site - (y <br /> If yes, location and distance - 4�� ft- <br /> ��.ft. <br /> -a <br /> vm <br /> SAMPLING slot-ad _ <br /> hI <br /> Holding Temperature I V Pr r <br /> a= VIVIW Pais( <br /> Method �v,; S/ln/✓�- s-Fn r ;•�s L'ucr/ '`° = <br /> Screening Method I S7J' p <br /> Tracking Sheet jjyj n ) — <br /> a....=L� ft Ift. <br /> SPOILS <br /> Storage Method -o"Jj fir_ 0j- MATERIALS/DEVELOPMENT <br /> Contamination Noted - (y <br /> Storage Location s � Casing type � O <br /> Wpm Blank ft. Screen 57- ft. <br /> d- Slot size_ /Z 5 2.D - 1 n[��.• <br /> GROUTING Bags cement <br /> I 2($" j1!Zuckets bentonite port-e-oa!-U,! nnz -%1b <br /> Depth to water_ 4 sags sand/gravel 3 ►no -Ib bG61Mti <br /> Mix Ratios Filter Pack type/size 41-2-1 1Z <br /> —Tr=j Jvy <br /> Installation Method n„ r ted( -{1 ro v G, c�,� Surge Block: - (y/©) <br /> Quantity Installed —� (� Discussed with geologist: - (y <br /> Type ofmethod <br /> EH 29 29 <br />