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PA—; I OF <br /> MONITORING 'r-TELL INSTALLATION REPORT <br /> Il e r4 Woo 01 14j -d j) 11 1 rn co <br /> J 4 s on K 110 <br /> J a0aYv <br /> Date: June 1 2009r'g - X857 <br /> _ CONSTRUCTION <br /> Premise Address: 4`732, I✓, ���$$ Well No. VW5- <br /> Vie,IGI(1 Mte4e ft Total Denth 30' <br /> Screen Length <br /> Filter Pack <br /> Bentonite Pellets <br /> Permit No. S7 SS 2 Grout lI -f.Gr? <br /> Consultant ATC, AssociateA completion-Stove pipe/christie bc;•. <br /> Geolog st_ Jim <br /> T Auger O.D. 8- irir!� <br /> Auger I.D. 4. 2 S " <br /> sA.�tPLING - eJcf� -�;�L�te�- st�yr-},,� sf Ips 9 -rha drMerJ d;d not inJla/l q fr4>�iG ,b . <br /> This w;I/ &-- dmn c n-f- ; cr/u k- 4 f4c,.,,6m jGc7i�. <br /> +�t i 5 6cI Gt('tv 1}3 Sc,s 4-e rn . <br /> Holding Temperature ° (i - 1�i IYL"o I" sLck o <br /> Metiod i !. PIS r'vdtaaol <br /> Screeninc Method— -p I J) <br /> IS- 26 S ABCVE-GRCUND CNAISTf 30x I �1 <br /> Tracking Sheet ,('din) .20 /D8 CCW�'.CN CCMPL-TICN I "�h�izaar� <br /> SPOILS v .2S- 13 Ground sur! e A),,*x P <br /> 30 Qrart A 9';n <br /> Storace Method 5 - Jronus 1 1 ftP/afr /�J��lz2 <br /> Contamination Noted - n nc 13 <br /> ft. 1d . <br /> Storac_e Location d/t .f,•}•e �ft. _ <br /> a ��h a- sante. <br /> - o <br /> SPECIAL PERMIT INFO. <br /> — o <br /> 1 slotted = 7 1iA ,6-� O�Ju <br /> Distance to sewer line N A - x-70 4a se ff/c- sa mon = /� n � <br /> Domestic well on site - yes/® _ VIVIN1 PWk <br /> 1.4 ves, location & distance - — <br /> C n L G1/0j,*Pff r`G A)&,//'y I22 ' -I-+ `Kit east = <br /> GROUTING <br /> MATERIALS USED: <br /> Depth to Nater_ Ow •4,.A- 36-foot de-p4, Casing type -2 1'n .S•C4d ole- 40 <br /> �—`x Ratios_ //nsJ 4-4 14'7JJo0 0� B1ank, 15 _`z . Screen <br /> _.^.stallation Method o✓{/ wou ,� Qv er--r Slot size 0/ v" <br /> qua:tit✓ Installed S; v 17 LfLAlJ o r1ro 0 Ba s cement 47-��i b4�S <br /> W e rYIQrCrG 5- 4 /o,t b y , <br /> �. ccreo�- bentonite bine Gold 'Yne4f✓rn ch ps ' SDlb bag <br /> To}&C -ist CE»� 3acs sand/gravel u Co �b b4 <br /> Us , vtte 5 baIo. ter <br /> Pack tape/siz <br /> :tal Billed Time Per Site 3 r701)ys <br /> -rte P-nri.t. Finalized ells 09 <br />