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MONITORING WELL INSTALLATION REPORT <br /> /�1Gl�g�/as insfall� n `ices Dct� - 5 u ,7 n�vI1 � ���u� °Id � <br /> a (�e,0,ttfa +tvr- rn-ro y, <br /> Date: /2 aa 13,.201 b CONSTRUCTION <br /> �n ie•i3-i0 <br /> Premise Address: 3 a R E 1 DQ ( GI o Total Depth I'a6 I <br /> Screen Length (from) 11 S�) /t)B <br /> Well No.: /i(1 " $ e -�,f� w Filter Pack (from) 112 (to) / Z <br /> / S, ¢WAl uCrass' , Bentonite (from) It) (a ' _(to) <br /> Inspector: V ' " Grout <br /> l ('�{1 /1 G�i �+o wL (from) 1 0 Z' (to)—rtlr-y <br /> "-FA e1f;e-Drilling rig type 1.-10 LX—le <br /> Permit No. $R# 0 0(0 1 B S �S'� Auger O.D. 1 S i nr.4 er <br /> Completion - Stove pipe/ stie bo (circle one) <br /> Drilling Company: � �/ � 2 �b�,v,�NY1,Ylyi�� <br /> Driller: casing <br /> Joan an Mv ejaa- Aih�y height <br /> M*xTe Consultant <br /> Geologist 02"P( aln.a VGA'_ -X10 E ._ <br /> ASOVE-GROUND <br /> COMPLETION C IM43OX <br /> SPECIAL PERMIT INFO. Ground Su►iaca <br /> Distance to sewer line > 4b grout <br /> Domestic well on site - (y/ n AQ Z ft. <br /> If yes, location and distance - ft. <br /> eft. <br /> d 0 <br /> m <br /> 40 <br /> SAMPLING <br /> p dotted � <br /> Holding Temperature- S-6 0-1/moi h /1�2'J�+C�. <br /> Method l+ Za, L�/y�i �•cam_ _ �"re1 Pack <br /> Screening Method <br /> Tracking Sheet n ) <br /> SPOILS <br /> Storage Method .X!QA& 'Yk//-mi MATERIALS/DEVELOPMENT <br /> Contamination Noted - (y/� / <br /> Storage Location Casing type a i 4e,4 <br /> Blank ft. Screen ft. <br /> Slot size_ Q, A .Zd i k <br /> GROUPING _ ., Bags cement 13 4-1b 13 aslit I:f el f e1Vr TI- <br /> 'lt�"r Buckets bentonite C C77-4D Geis W <br /> Depth to water °.L S Bags sand/gravel G -/" #- C�ir��ri <br /> Mix Ratios -?4-/ -' ofwcJe✓ Filter Pack type/size .3 s <br /> Installation Method Y ,y1 -P' t G��dr-r Surge Block: di4 <br /> Quantity Installed -4- ba,+ �s Discussed with geologist: - y n ) i <br /> Type of method L <br /> EH 29 29 <br />