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ObNITORING WELL INSTALLATION REPO <br /> 31.2 <br /> Dale: A r CONSTRUCTION <br /> 4� <br /> Premise Address: 2 4Uarfer WaTotal Depth <br /> T� �� Screen Length (from) D S (to) <br /> Well No.: - n Z l - TI Al Filter Pack (from) aS (to) r3 , <br /> `/ Bentonite (from) 13 ` (to) 11) , <br /> Inspector: V ` M Grout (from) 1 (to)g rig <br /> Permit No. ze --* 069243 Augetr O.D. qe -4 15 i I.D. Yq <br /> ,/ Completion - Stove pipe/ 'sue bo (circle one) <br /> Drilling Company: Y W f l 1, <br /> .I <br /> Driller: --rr-- casing <br /> c7'�1TT)7����yJ height <br /> Consultant r°u J� J n C . <br /> Geologist A adr _ <br /> ABOVE-GROUND <br /> CC&FLETION CHRm <br /> SPECIAL PERMIT INFO. rr pend Su lace C LEMON <br /> Distance to sewer line -t grout <br /> Domestic well on site - (y/0 1 tt <br /> If yes, location and distance - 3 ft <br /> l eft. <br /> — a <br /> = m <br /> — n <br /> = m <br /> SAMPLING — <br /> ilanad _ B <br /> ax5on <br /> Holding Temperature <br /> Method = 9""19 Pack <br /> a <br /> Screening Method P <br /> Tracking Sheet - f v . n ) <br /> l� :: = <br /> x S tt. = ZJ'tt. <br /> SPOILS <br /> Storage Method /'a,i MATERIALS/DEVELOPMENT <br /> Contamination Noted - y n ) <br /> Storage Location r)j J. Casing type a .2-11.� SSD <br /> Blank /S" ft. Screen /0 ft. <br /> Slot size 0 , U Z d <br /> GROUTING Bags cement 19 5/ tar u. �(reeL7/ <br /> w Buckets bentonite��_-re Pre e, / e% <br /> Depth to water n/ <br /> 3 Bags sand/gravel q1 r Ldp 7 fie.- Srs <br /> Mix Ratios V uC o��-kt�eY Filter Pack type/size ' @ Z <br /> Installation MethodSurge Block: - ( y n <br /> / <br /> Quantity Installed - e .b 11,,?_ T U Discussed with geologis : - ( � n ) <br /> 7 Type of method /-7Z z24240 0 �d "C' / <br /> EH 29 29 e e q'q/1n2'/ G <br /> J O(J.Wd,z TyP e 1 <br />