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�vwONITORING WELL INSTALLATION REPO. <br /> Date: �r 2 4 CONSTRUCTION <br /> Premise Address:— 141 P LSC. Total Depth CIA <br /> Screen Length (from) (to) <br /> Well No.: f� ' Filter Pack (from) (to)� <br /> Bentonite (from) 2k —(to)�_ <br /> Inspector. J�• -1 t�s7/�(3YV Grout (from)_ � —(to) ' <br /> Drilling rig type 101 <br /> Permit No. C1/ r �� Auger O.D. <br /> Completion - Stove pi cluisq circle one) <br /> Drilling Company:— --- t <br /> Driller• cas i.ng <br /> height <br /> Consultant l2(j`�y� <br /> Geologist P- b- Ac,�r' T <br /> /ABOVE-GROUND CttMM-SOX <br /> COMPLETION COMPLETION <br /> SPECIAL PERMIT INFO. Ground Surface + �� <br /> Distance to sewer line �r grout <br /> Domestic well on site - (y/ n) <br /> If yes, location and distance - - <br /> ft. <br /> qa � <br /> V <br /> SAMPLING dora.i = G <br /> A = 3 <br /> soden <br /> Holding Temperature <br /> Method ('.2i s t � 1Cc'' <br /> Screening Method Xof <br /> Tracking Sheet y n) <br /> J• <br /> fi. M <br /> SPOILS <br /> Storage Method P G�vGrujaJ MATERIALS/DEVELOPMENT <br /> Contamination Noted - (y 410 !> <br /> Storage Location Casing type 4 19A, <br /> Blank ft. Screen so ft. <br /> Slot size 6- 0/0 <br /> GROUTING Bags cement <br /> Buckets bentonite f " 75 <br /> Depth to water b¢ Bags sand/gravel <br /> Mix Ratios "7. / Filter Pack type/size a <br /> Installation Method J&2 Zfu(7 Surge Block: - (D n ) <br /> Quantity Installed Discussed with geologist: - (_T/ n) <br /> Type of method —Pnf z 4�0 . <br /> EH 29 29 <br /> 1 <br />