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E OF <br /> MONITORING WELL INSTALLATION REPORT <br /> Date: I�U� "l � ( CONSTRUCTION <br /> Premise Address:*s �'iel&eeG Well No. /�/�✓ �� <br /> Insp�e�c r: w n Total Depth 75 <br /> ���} U, C ���Pt Screen Length '75 - S27 <br /> Filter Pack '7'` <br /> Bentonite Pellets <br /> Permit No. Grout <br /> Consultant 5 _ Co 'on-StovQ pip Christie box <br /> Geolo �, <br /> ist /. CC- mglet\ Gi <br /> P� G%/A�//�e ' /`/ Auger O.D. <br /> Auger I.D. <br /> SAMPLING ` - <br /> Holding Temap�jjure it CGr track-uP <br /> Method <br /> Screening Method <br /> ABOVEGROUND CHRISTY-BOX <br /> Tracking Sheet ( n COWLETION COMPLETION <br /> ��Oround <br /> Surf act <br /> SPOILS <br /> �i proof <br /> Storage Method fir/vis <br /> Contamination Noted - es no <br /> ft. <br /> Z4;l l// O-Z -7e. , <br /> c , <br /> m <br /> = o <br /> SPECIAL PERMIT INFO. = o <br /> Clotted = 8 <br /> Distance to sewer line an <br /> Domestic well on site - yes/@o _ gravelPack <br /> If yes, location & distance <br /> GROUTING - <br /> X/ MATERIALS USED: �//I r/ <br /> Depth to water V I asing type `� <br /> Mix Ratios ISI lank ft. Screen ft. <br /> Installation Method 1; lot size <br /> Quantity Installed ags cement <br /> uckets bentonite <br /> ags sand/gravel <br /> �!1' filter Pack type/size <br /> Total Billed Time Per Site <br /> Date Permit Finalized <br /> i <br />