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P-� -3 OF_L_. <br /> low <br /> MONITORING WELL INSTALLATION REPORT <br /> Date: 91 I CONSTRUCTION <br /> Premise Add ss: d Well No. T <br /> Inspector or "414 Total Depth <br /> Screen Length <br /> Filter Pack <br /> nn 2 Bentonite Pellets - <br /> Permit No. V� ✓ I Grout <br /> Consultant Completion-Stow . pipe Christie box <br /> Geologist t <br /> Auger O.D. <br /> Auger I.D. <br /> SAMPLING <br /> Holding _T7e P rature stick-up <br /> Method �NIk'.fJ� �6� <br /> Screening Method ONA 9 FA <br /> ABOVEGROUND CHRISTY•BOX <br /> Tracking Sheet (yA COMPLETION COMPLETION <br /> Orwrd Sturlacs <br /> SPOILS <br /> --#7- <br /> grout <br /> Storage Method -^•,���. <br /> Contamination N ted - yes o y(�— X11. <br /> Storage Lo ation n n. <br /> _ o <br /> SPECIAL PERMIT INFO. _ <br /> o <br /> slotted <br /> Distance to sewer line > "coon = B <br /> Domestic well on site yes no _ grav,1Pack <br /> If yes, ocaton & distance - <br /> GROUTING <br /> MATERIALS USED: <br /> / �j <br /> Depth to water 'J Casing type Pyr, :1 , <br /> Mix Ratios Blank ft. Screen -Up ft. <br /> Installation Method f,0.,, ..Q�z�u>v, Slot size .02- <br /> Quantity <br /> OZQuantity Installed Bags cement <br /> Buckets bentonite <br /> UU Bags sa /gravel <br /> Filter Pack type/size tr.r..1Q_ <br /> Total Billed Time Per Site <br /> Date Permit Finalized <br />