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MONITORiNG %VF.I.i. - Sl)il. BORING <br /> INSTALIA'I'ION ltl;.t'OiZT <br /> Bate: f CON$TRUCTION <br /> Premise Address: G�a� ci^ r_c Monitoring Well # Z � <br /> Site Code: Total Depth <br /> qqScreen Length (from) (t°) <br /> Permit Number(.): Filter Pack (from) (to) <br /> Bentonite (from) h (to) 'UZ <br /> inspector: Grout (from) U to <br /> Depth to Water 4 3 5 1,ze <br /> Drilling Company: DbAAuger O.D. <br /> Driller: Casing Type Slot Size O <br /> Filter Pack Typc/Sizc <br /> Consulting'Firt • �' " F __ Completion - Stove pipe Christie box <br /> Geologist: `M— Surge Block: -__(y/ n) <br /> Sampiin¢ CONS Xrol G _g-e_ <br /> Ntcthod of Storige: <br /> well # � <br /> Screening Method: rotas Depth <br /> Sl�t�ils Screen Length (from) uU (1O <br /> Stora a Method an i.ocation: Filler Pack (from) (to) 1 <br /> io a Bentonite (from) ( )- <br /> Grout (from) � —(10) <br /> Dcplh to Water <br /> Auger O.D. / <br /> Groutin¢ Slot Size <br /> Mix Ratios:— � "� Casing Type <br /> loMethod: ` �l_t Filter Pack Type/Size <br /> Installation at <br /> Quantity: Completion - Stove pipe/ ristle box <br /> Surge Block: - (y / n) <br /> C.ONSTRv::i'1ON CONSTRUCTION <br /> Soil Boring # Total Depth Monitoring Well # <br /> Depth to Water Totni Depth <br /> Nlethod of Destruction Screen Length (from) (to <br /> Filter Pack (from) (to) <br /> Bentonite (from) (to <br /> Soil Boring # Total Depth Grout (from) (to) <br /> Depth to Water Depth to Water <br /> Method of Destruction Augcr O.D. <br /> Casing "Type Slot Slze <br /> Filter Pack Type/Size <br /> Soil Boring # Totai Depth Completion - Stove pipe / Christie box <br /> Depth to Water Surge Block: - (y/ n) <br /> Method of Dcttruction , <br /> 'V <br /> Soil Boring # Total Depth t�3 <br /> Depth to Watcr <br /> Method of Destruction <br />