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"-MONITORING WELL INSTALLATION REPOT T <br /> Date: AUQ )St I gt�0/p CONSTRUCTION <br /> Premise Address: G 3 q W aza �l J Total Depth_ GD-Fe,e_ - <br /> Well No.: M - 4Ij Screen Length (from) �� (to) �l p ' <br /> Filter Pack (from) 46 (to) 34I <br /> Inspector: Vi' Bentonite (from) 39' (to) 3., ' <br /> t-177 Grout (from) 34 ' (to) Su rA2C <br /> Drilling rig type_ "M E '7.5- <br /> Permit No. s IQ rt 00 (e 2, Auger O.D._ $)- n,�„ti I.D. 4 <br /> Completion - Stove pipe/christie ox (circle one) <br /> Drilling Company: We& Aba <br /> Driller:_ ��rJpn �n� Mi �/�� ��� casing <br /> �� " 1 f height <br /> Consultant RTuu[ltt7Gf2� �,Pp5I7 /j rnn inC�N1 / .u�G. <br /> Geologist_ kL S l)'Q►'��Q ._ <br /> ABOVE-GROUND <br /> COMPLETION C_G S7Y-BOX <br /> SPECIAL PERMIT INFO. Ground Safaca <br /> Distance to sewer line_ > /,'�'�r d n9 grout <br /> Domestic well on site - (y/(q) 40' 0 <br /> If yes, location and distance - -45' a 7 ft. <br /> -q-0, 4.9 pp., 0ft. 39 ft. <br /> 55, <br /> sGr,eeLneed <br /> {b go cl t� <br /> SAMPLING - SO;I Sdrn'V/c5 C,, ja 5!S $a SS yG4 o <br /> slotted = <br /> o aeon — <br /> Holding Temperature_ _ <br /> Methodi0.c-_ i.? a e'00 <br /> �r = t7n Pack <br /> Screening Method 00/ D <br /> Tracking Sheet - y n ) _ <br /> SPOILS <br /> Storage Method M_ ATERIALS/DEVELOPMENT <br /> Contamination Noted - n ) <br /> Storage Location_ pn S L / l Casing type �-j �r,1, SGI2 �/,i� ¢0 <br /> �� . Bat size 40 <br /> �' Screen 1 o ft. <br /> GROUTING U� lo <br /> Bags cement 8 ti - J <br /> �" ► Buckets bentonite__f % '' -/ "a4f <br /> Depth to water i' ccm6x Bags sand/gravel 8 oar-hundree�Do�nds <br /> Mix Ratios „� 740)3 Lvsfr <br /> zL Filter Pack type/size 43 <br /> Installation Method 4 y tiQ�uz4o_ Surge Block: - gl n n ) <br /> Quantity Installed }- Discussed with eolo st: -� ) <br /> 3o6(�xr ,Sb Type of method_��r Gac�c <br /> EH 29 29 ��%+ �f, —U — <br /> Niu <br /> o2 , .Zo -T e 11-17 arfl4 <br />