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MONITORING WELL INSTALLATION REPT <br /> Date: 5 to • 4 / CONSTRUCTION <br /> Premise Address: CJwJ 14 Total Depth �• <br /> Screen Length (from) (to) <br /> Well No.: 2�2 Filter Pack (from) 2,0 (to) <br /> Bentonite (from) (to) <br /> Inspector: '3• Sckt1`10 b ek- Grout (from) F. (to) Fr- <br /> Drilling rig type CM(S. <br /> Permit No. Auger O.D. I.D <br /> Completion - Stove pip stie box (circle one) <br /> Consultant�21(�C. �tJVb/Gt)>,JNt��3i�Yl. �G.k�.P -T <br /> Geologist lftLl t�4 /2I skit-up T <br /> . T <br /> SPECIAL PERMIT INFO. ABOVE-GROUND <br /> i COMPLETION CHR15iY-80X <br /> Distance to sewer line 1SU COMPLETION <br /> Domestic well on site - (V nOrnurd Surt�a --:F� <br /> If yes, location and distance - otout <br /> LJMVL 1�, Onw1 LLAO rIU sW 111 <br /> Q�It.�1IS Pscc.avu�I�s4�'IU�' ft�t2boNuuiL ft. <br /> ft. _ <br /> SAMPLING �'�,51 /U'/�S /J'l(o.� ZU -Z).S/ A• = c <br /> 0 <br /> Holding Tempera�e 4 ° damd = 'E <br /> Method je) .7Ctf' sucdan _ <br /> Screening Methodtti w = pravclpack <br /> Tracking Sheet - Qy n) <br /> SPOILS <br /> Storage Method up%-07 C- MATERIALS/DEVELOPMENT <br /> Contamination Notes - y n ) . 3 /. <br /> Storage Location Casing type <br /> � 40 4C- <br /> Blank <br /> L <br /> Blank ft. Screen fr. <br /> Slot size 6. 020 <br /> Bags cement <br /> GROUTING Buckets bentonite <br /> Bags sand/gravel <br /> Depth to water 6 S Filter Pack type/size 2 /2— <br /> Mix Ratios 1I 3iZt 5/ntut� �snt�,Lf SL uLl1 Surge Block: - 6 n) <br /> Installation Method AU9u , Pvxr.(. Discussed with geologist: - (y& <br /> Quantity Installed Type of method <br />