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*ITORING WELL INSTALLATION REPO ^ <br /> Date:�/9 _2-01641 CONSTRUCTION <br /> Premise Address: Total Depth Soi t /h r <br /> ��/��� c�� / Screen Length (from) (to) <br /> Well No.-, eg a4, PA^' _<O ' °Q G w Filter Pack (from)—(to)— <br /> Bentonite <br /> from) (to)Bentonite (from) (co)— <br /> Inspect.or <br /> to)Inspector. � ^^'` Grout (from) (to) <br /> Drilling rig type <br /> Permit No. Auger O.D. I.D: <br /> _ A , Completion - Stove pipe/cluistie box (circle one) <br /> Drilling Company: f,,, i <br /> Driller: casing <br /> 7F <br /> height <br /> Consultant/� k ^ ^�� <br /> Geologist [.4``t4 SI-1- <br /> ABOVE-GRCUND GtiAtStY-30X <br /> CCNPLETICN OVAPLc-TION <br /> Gcvj <br /> SPECIAL PERMIT INFO. '�— r-4 S "y + <br /> prart <br /> Distance to sewer line A1A 11 <br /> Domestic well on site - (y <br /> If yes, location and distance - ft. <br /> ft. _ <br /> - C <br /> O <br /> SAMPLING slotted <br /> D� soc'cn — <br /> Holding pera e = tx+ <br /> Method N <br /> Screening Y&od e) _ <br /> Tracking Sheet - } / n) • <br /> l/ ft. <br /> SPOILS <br /> Storage Method MATERIALS/DEVELOPMENT <br /> Contaminadon Noted - y n) o <br /> Storage Location Casing e � Screen —f. <br /> Slot size <br /> GROUTING Bags cement <br /> Buckets bentonite <br /> Depth to water Bags sand/gravel <br /> Mix Rados 1 Facer Pack type/size <br /> stallation Method 1 eli 3D «� " ° Surge Block: - (y/n ) <br /> Quantity Installed Discussed with geologist: - (y/ In) <br /> Type of method <br /> EH 29 29 <br />