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PA <br /> j� MONITORING WELL INSTALLATION REPORT <br /> S U YI Y7 446 o u 070 a r I r- ) ) I " d vo) <br /> I si a /x- t5o+a <br /> Date ; lyz. V6?iyy is /) 9 "�gg CONSTRUCTION ��rI L} �. <br /> Premise Addres/p 3 ) E 6 �[E.,[ G Well No . V A/ " 2� <br /> Ins _ector : V /I �. - - � �1 /IL2�Y+�-�L" Total Depth <br /> _7 Screen Length <br /> Filter Pack 30e <br /> AA [� Bentonite Pellets <br /> Permit No. . # QQ ,�sGa Grout G I � Ill <br /> ConsultantydtzdpLw completion-stove pipe / cie b - <br /> Geclogist_ �Dzlnj <� veiVa � <br /> Auger O . D . <br /> ,A auger I . D . <br /> SAIMPLING Do fA P ) D <br /> I 2ie &d - <br /> [ ` kk P <br /> . 5 6,s , <br /> V4 Temcerature 0 <br /> 8,s/o d <br /> screening Method <br /> / 9, 5 -,20 )�/# ABOVE-GACUND 7ff <br /> Tracking Sheet y n ) , f094XN CvCW4EON - <br /> S 2S �aD CCMPL-'TION <br /> s2olLs X8 .5-3U !</0m� `� ®� C�ound su 1xs — • <br /> ,�JJ /�' o/out <br /> Storage Method d)( 0Y76S ..]� fT• <br /> Contamination Noted - / no ft <br /> Storage Location ns 11 "P Im h <br /> MW • I _ <br /> v6 • = <br /> SPECIAL PERMIT INFO . � VW2 _ - <br /> • = 3 <br /> VW t � plotted <br /> Distance to sewer line "c*n <br /> DOmestic well on site - vesno <br /> _ vayo, pack <br /> If ves , location & distance - VNl3 ,r�1,f•� _ <br /> _ n. IF3 <br /> GROUTING <br /> MATERIALS USED : <br /> depth to water r 0 <br /> L t/a JS �22ldze 0 / casin e ivi0 .SCgv_.�ic �z <br /> L� 9 type <br /> 4Ix Rztios �/ h r 9C &-w OTsJu'��lank JO Ft . Screen d <br /> Installation Method 7 t4ge� S.�_ /nom Slot size ` �. 0 0 � L ` <br /> 2ua nt ? ty installed —� �f — d �• Bags cement m2 `/b Q �` � OY�'/d/1.�•�" �' iicf' <br /> Buckets bentonite >$� - f!U 318 a ,p <br /> Sacs sand / gravel 10 / bd �h,b FL-G'pj" J LUSIrl , <br /> Filter Pack type / size CACI N _c2 (1 UG rl U rk . <br /> Ital Billed Time Per Site <br /> _ - Permi_ t Finalized <br />