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-..JNITORING WELL INSTALLATION REPOR . <br /> Date : 6 I u ( � CONSTRUCTION <br /> Premise Address :_ J ( >OCCv <br /> LO Total Depth `24> <br /> Screen Length (from) , e ' (to) S <br /> Well No. : f/LV Filter Pack (from) 12 (to) <br /> � � �A Bentonite (from) 5 (to) <br /> r,1- r,4 l <br /> Inspector: F 1- [ � — G Clr(/lr C Grout (from) (to) q <br /> C Drilling rig type <br /> Permit No. 7 �� D �� � Auger O.D. tC t� E I.D. <br /> Drilling Company: /y .Gyl_ A <br /> /n� V[ .lud / ( yu „�~ Completion - Stove pipe/christie box (circle one) <br /> Driller: \tn— (Wl I ;*VL ® c� casing <br /> height <br /> Consultant <br /> Geologist_ U(nc S (ruM 011 <br /> (sriu l�l 'L ABOVEGROUND <br /> COMPLETION CNAISTY-80X <br /> SPECIAL PERMIT INFO. Gird Sul <br /> Distancytv sewer line Gtr <br /> Do esc ell on sit - y / n ) l ft <br /> If ye locat'on and istan e <br /> —4=—h• B <br /> SAMPLING — c <br /> _ o <br /> slotted � <br /> .on _ <br /> secs — <br /> HoldingTem _ <br /> Temperature <br /> e = gravel Pack <br /> Method 1a� 5 <br /> Screening Method . <br /> Tracking Sheet - ( y / n ) _ <br /> SPOILS <br /> Storage Method SS vszJ y} �vN MATERIALS/DEVELOPMENT <br /> Contamination Noted - ( y / n ) I <br /> Storage Location w5 ��/t Casing type (`, t 4cp <br /> Vwd bw b S Blank '> ft. Screen ti ft. <br /> Slot size Ij .u &�t <br /> GROUTING Bags cement /16 <br /> Buckets bentonite d <br /> Depth to water C > Bags sand/gravel <br /> Mix Ratios Filter Pack type/size Z <br /> Installation Method Surge Block: - ( n ) <br /> Quantity Installed Discussed with geologist: - ( y / n ) <br /> Type of method <br /> EH 29 29 <br />