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I <br /> . .ONITORING WELL INSTALLATION REPOR . <br /> I <br /> Date : b ` tb CONSTRUCTION <br /> Premise Address : uAL 10 > Total Depth � > <br /> Screen Length (from) I J (to) CL <br /> Well No. : Filter Pack (from) I „ (to) ( 3 <br /> Bentonite (from) q 3 (to) cl <br /> Inspector: ` _ � l 2 L � G� Grout (from) l (to) !� <br /> Drilling rig type <br /> Permit No. Auger O.D. 1 4 I .D. <br /> Drilling Company: Completion - Stove pipe/christie box (circle one) <br /> Driller: ,win r lq � AMJL <br /> V <br /> casing <br /> t height <br /> Consultant /�.� l� <br /> Geologist LLa S ITU <br /> ABOVE-GROUND <br /> COMPLETION COMPLETION <br /> SPECIAL PERMIT INFO. Ground gum <br /> Distance to sewer line _ grout <br /> Do tic well on sit ( y / n <br /> I es, to ation distance - <br /> �I, <br /> °Left. <br /> SAMPLING _ <br /> 0 <br /> slotted — c <br /> sac�on <br /> Holding Temperature <br /> Method JA, tvivo' PaCK <br /> Screening Method VD <br /> Tracking Sheet - ( y / n ) <br /> SPOILS <br /> Storage Method S5 �j.-(. U>P.} MATERIALS/DEVELOPMENT <br /> Contamination Noted - ( y / n 4 X 4)� I <br /> Storage Location t>t - Casing type S it &V p U L <br /> Blank � � k� ft. Screen.-j �> ft. <br /> o Slot size~ <br /> GROUTING Bags cement `Lb ( , <br /> Buckets bentonite ( 1 <br /> Depth to water 1 5 Bags sand/gravel S <br /> Mix Ratios < 4 Filter Pack type/size Zj Z <br /> Installation Method r4~c Surge Block: - (�/ n ) <br /> Quantity Installed r^ 5 Discussed with geologist: - 0�7 n ) <br /> EH 29 29 Type of method <br />