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v �.GF.,_/ 'OF <br /> MONITORING WELL INSTALLATION REPORT <br /> Dated <br /> 6 � CONSTRUCTION <br /> Premise Addr Well No. AV <br /> Inspecto Total Depth oZ 5 <br /> Screen Length aS- <br /> Filter Pack <br /> Bentonite Pelle a �— <br /> Permit No. �' Z Grout G C) <br /> Consultant Completion-Stove pipe christie bo <br /> Geologist <br /> Auger O.D. <br /> Auger I.D. <br /> SAMPLING <br /> atidt-up <br /> Holding Temperature C/ <br /> Method i �_ T <br /> T <br /> Screening Method <br /> ABOVE43ROUND CHRISTY411OX <br /> Tracking Sheet (y n COMPLETION COMPLETION <br /> �..�..�Ground SuAan����' <br /> SPOILS <br /> grout <br /> Storage Method 6W <br /> Contamination Note - yes/no ((, <br /> Stora a o�c9tio ��h <br /> �I�AK(/ S ;Y <br /> O <br /> SPECIAL PERMIT INFO. <br /> slotad :^ <br /> Distance to sewer -line "don C <br /> omestic well on site /no = grawipadc <br /> If yea, location & dista e - ' '- <br /> f f �arf <br /> ft. <br /> GROUTING <br /> MATERIALS USED: <br /> Depth to water Casing type <br /> Mix Ratios B1ank­.�Q_ ft. Screen /S ft. <br /> Installation Method Slot size dZ� <br /> Quantity installed Bags cement <br /> Buckets bentonite <br /> Bags sand/gravel f <br /> Filter Pack type/size <br /> Total Billed Time Per Site <br /> Date Permit Finalized / <br />