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vMONITORING WELL INSTALLATION REPORT <br /> MV <br /> Date: _ `/�e-i-(3 fj o", /3 2,0 CONSTRUCTION <br /> Premise Address:_ 3 0 8 F j -Zpra.d 6 t Total Depth GS <br /> Screen Length (from) (PSI (to) �6= <br /> Well No.: �- _ Filter Pack (from) (ems (to) 17A, <br /> i a 11(40,X GBentonite (from) (to) <br /> Inspector: (�,y,U X}tlta Grout (from) ' (to) .S Cie <br /> Drilling rig type 11j,k7,4/ar L- /0 Q4 2 <br /> Permit No. S R 00 G /�6Q S Auger O.D. &)h 64ej I.D. " <br /> Drilling Company: tyy�� �� Completion- Stove pipe/ circle one) <br /> T W�1�j1 �-1j�yl,�a'y�yy�� stle <br /> Driller: casing <br /> tJulri Q►tGI rn .5v A. Arndt o wy_��w�y� L height <br /> Consultant <br /> Geologist Ian i Ll IJP yC_ 6; •. <br /> ABOVE-GROUND <br /> COMPLEf O N x <br /> COMPLETION <br /> SPECIAL PERMIT INFO. Ground Sauce <br /> Distance to sewer line v1', �Yl ow nOfout <br /> Domestic well on site - (y <br /> If yes, location and distance - ft <br /> — m <br /> SAMPLING - yy - Ybvvy l I --/jS rNirvJ <br /> l.D slotted — <br /> su�on <br /> Holding Temperature <br /> Method ��} _ ack <br /> �" 1 <br /> Screening Method <br /> Tracking Sheet - �/ n ) <br /> l� &r-tt. <br /> SPOILS <br /> Storage Method Lia MATERIALS/DEVELOPMENT <br /> Contamination Noted - ( y/(D () I <br /> Storage Location J 6 Pi l: -D6 re�d q Casing type <br /> Blank l-a ft. Screen ft. <br /> Slot size 0.02,6 ;-m" ,_! <br /> GROUTING Bags cement 9, Sb¢cs 9 Vlb ddaf <br /> Lt �i�.Buckets bentonite - 5d 1W G <br /> Depth to water ^�er '� y Bags sand/gravel 3.� / 4fe <br /> Mix Ratios . Q 6 u l/h-� Filter Pack type/size <br /> Installation Method / `rst C11 171" Surge Block: -y n ) <br /> Quantity Installed �f Discussed with geologist: - 0/ n ) _2,0iii rife, <br /> j <br /> 61 <br /> EH 29 29 hype of method <br /> � <br /> Iglt 7�� '3 Thi a`r;-11�►-s asfar f i`�v s� �� <br /> fTG'6 .Su��' 41 <br /> i•�dcr-E' .SI�o�i2a%�L�-J' !/`�. �• ��r'-s- . �i U�-S'Q�d <br />