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MONITORING WELL INSTALLATION REPORT <br /> Date: CONSTRUCTION <br /> Premise Address: S�tjZ7 /�a-I/ir�c�� Total Depth <br /> Screen Length (from) (to) <br /> Well No.: AALW , u� Filter Pack (from) (to) <br /> p Bentonite (from) (to) <br /> Inspector: Grout (from) (to) <br /> Drilling rig type <br /> Permit No. Auger O.D. I.D. <br /> Completion - Stove pipe/christie box (circle one) <br /> Drilling Company: <br /> Driller: casing <br /> height <br /> Consultant �f/�-�(1 <br /> Geologist Tsjllt� <br /> ABOVE-GROUND <br /> COMPLETION COMPLETION COMPLETION <br /> SPECIAL PERMIT INFO. Ground Surface <br /> Distance to sewer line <br /> grout <br /> Domestic well on site - (y/n) ft. <br /> If yes, location and distance - <br /> ft. <br /> ft. <br /> O <br /> SAMPLING — <br /> slotted ..: — c <br /> :;. <br /> vection <br /> Holding Temperature <br /> Method ' __ g' P <br /> ack <br /> Screening Method ";?`_ <br /> Tracking Sheet - (y/n) _ <br /> 4. <br /> ft. = ft. <br /> SPOILS <br /> Storage Method MATERIALS/DEVELOPMENT <br /> Contamination Noted - (y/n) <br /> Storage Location Casing type <br /> Blank ft. Screen ft. <br /> Slot size <br /> GROUTING Bags cement <br /> Buckets bentonite <br /> Depth to water Bags sand/gravel <br /> Mix Ratios Filter Pack type/size <br /> Installation Method Surge Block: - (y/n) <br /> Quantity Installed Discussed with geologist: - (y/ n ) <br /> EH 29 29 Type of method <br />