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MONITORING WELL INSTALLATION REPORT <br /> Date: 13 1 CONSTRUCTION <br /> Premise Address:_ )an I I�� rAV�Wp, Total Depth I -Pf <br /> Well No.: k-KVJ-8 Screen Length (from)' (to)_( <br /> Filtet Pack (from) `3I (to) 144 <br /> �" Bentonite' (from) 14+ (to) I <br /> Inspector: _ J �n a 1�t ty1n Grout (from) 12 (to) 0 <br /> SI����12� Drillingrigtype_- Flullo� AfkYA A,, <br /> Permit No. Auger O.D. to" I.D. U6" <br /> Completion- Stove pipe/chnstie box (circle one) <br /> Drilling Company: �YLL I-[. <br /> Driller:- L (1 S <br /> casing <br /> Consultant NW1'0f0C L,! i height <br /> Geologist wut ✓b _ <br /> ABOVE-GROUND <br /> CONFLETION C}iALST1 BOX <br /> SPECIAL PERMIT INFO. COMPLETION <br /> C3round Sufacs <br /> Distance to sewer line prart <br /> Domestic well on site - (y/n) <br /> If yes, location and distance - Z ft. <br /> -s ft tj ft. <br /> SAMPLING sbtted c <br /> Holding Temperature = <br /> Method sv __ vnvs+Pack <br /> Screening Method = <br /> Tracking Sheet - (y/n) ss <br /> SPOILS I (} 15Uwtj <br /> Storage Method MATERLSLS/DEVELOPMENT <br /> Contamination Noted - (y/n) <br /> Storage Location Casing type TV C SG6 r{D <br /> Blank 1 ft. Screen 15- <br /> ft. <br /> Slot size 0 . 010 <br /> GROUTING Bags cement J <br /> Buckets bentonite I a <br /> Depth to water Bags sand/gravel I >g 5,tn d <br /> Mix Ratios Filter Pack type/size L <br /> Installation Method Syu$e$lock:=(-y-/n-) <br /> Quantity Installed Discussed with geologist: - (y/n) <br /> EH 29 29 Type of method <br />