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SbNITORING WELL INSTALLATION REPO* <br /> Date: GI.I' l I I3 CONSTRUCTION <br /> Premise Address: /6 0 L7 Durham F2rr 101 Total Depth ^Z <br /> . o Screen Length (from) A-4— (to) <br /> Well No.: AS-S- Filter Pack (from) ;?- ) (to) "-9-1 <br /> Bentonite (from) (to) S <br /> Inspector: CG eea Grout (from) /Z ' (to) <br /> Drilling <br /> rig type K—8 ) <br /> Permit No. Auger O.D. 8 a I.D. S <br /> Completion - Stove pipe/qEstie box <br /> Drilling Company: V �' W tri 1I : ,, e <br /> Driller: F rank TA r>.t r e z casin <br /> 111 height <br /> Consultant �re �nw Zero <br /> Geologist _ ABOVE-GROUND <br /> rCW Ci b'r /L G, COMPLETION t <br /> Y-BOX <br /> SPECIAL PERMIT INFO. K MS . 6 xa <br /> Distance to sewer line $ ✓ -2f {3 grow <br /> Domestic well on site - y / 2- <br /> n <br /> If yes, location and distance - <br /> �a�lt PLT) J = a <br /> m <br /> 0 <br /> SAMPLING S 3 9 Aottad = c <br /> 4 <br /> 7 G 91 ax5on <br /> Holding Temperature q r('/ = grzvw pacts <br /> Method <br /> Screening Method P I D <br /> Tracking Sheet - Cy n ) <br /> SPOILS /]- 7/(, <br /> Storage Methodrl v. I8f- WC MATERIALS/DEVELOPMENT <br /> Contamination Noted - n ) ld' 'K •9 J/ <br /> Storage Location ft P;+� 2_7 : / 9 Casing type J&h 9'0 <br /> Blank I L ft. Screen 5 ft. <br /> Slot size 0.0) ` <br /> GROUTING IrsCP��' Bags cement <br /> P',,,6,,,("'—Buckets <br /> bentonite/ W .5V r! bur,,& Cm Sr Coa}� <br /> Depth to water ^' $ bS Bags sand/gravel .1 b s /06tt J y bl�P.�J <br /> Mix Ratios )I Filter Pack type/size /L <br /> Installation Method S u z f �Z cfR Surge Block: - (y/(D <br /> Quantity Installed V a Discussed with geologist: - (Y�/ n ) <br /> EH 29 29 <br /> (JR� Type of method <br />