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I " a <br /> r NITORING WELL.INSTALLATION REPO <br /> � q <br /> { Date: Z `LCa CONSTRUCTION <br /> al Premise Address: l Z SD L rg21 ,Z-Q Totallbepth; Z S <br /> Screen Length (from) (to) /0 <br /> WeII No.: . Ml� —cJ Filter�!Pack :. (from) -(to)� <br /> . Bentonite <br /> �" (from) (to) 6 <br /> Inspector: Grout (from)_ (e __(to) �- <br /> ` Drilling rig type <br /> �f Permit No. GZ 0312. Auger O.D. �� I.D. Z <br /> 1 Complletio Stove pi c uistie box circle one) k <br /> 'Drilling Company: i <br /> Driller: casing <br /> height <br /> Consultant -AU�t c�PsS �'glL� <br /> Geologist I lUOV I a I"t .. <br /> A2&i-GF1oLWD CHRZ Y-6OX <br /> 00INPLE7iON COMF LZrICN <br /> SPECIAL PERMIT INFO. C3=nd Surface <br /> 1 I t <br /> Distance to sewer line l,�ll,L �D grout <br /> r Domestic well on site - (y/n) f1r� CUA�Oet-t <br /> If yes, location and distance - ft. <br /> SAMPLING i! sldrad <br /> I G <br /> '� i4C9Ct3 <br /> Holding Temperature 4G <br /> Method ICUF __ x: <br /> Screening Method „ <br /> Tracking Sheet - n } ' MU <br /> wwiwi.wl.�iia tl ' tta <br /> SPOILS II <br /> Storage Method VO-1 MATERIAIS/`,DEWI.OPMENT <br /> Contamination Noted - (y/n ) Tr r <br /> Storage Location nl S T�' Casingm. _ _ <br /> g 1...1..__.., g type Z �C,�• G <br /> Blankj I 6' ft. Screen IS ft, <br /> Slot size i .010 <br /> GROUTING Ba cement" <br /> i Buckets bentonite U-O iC_._ <br /> Depth to water 1-7 Bags sand/gravel <br /> Mix Ratios ^•g L,P1tSLl--NA Filter Pack type/size k <br /> Installation Method <&ft< _ Surge Block:.'- (y/G)) <br /> Quantity Installed 3 w�FrlLF�nkYS Discussed with geologist: - (�/ n) <br /> Type of method is(a <br /> EH 29 29 <br /> I 11 <br />