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„NIITORING WELL INSTALLATION <br /> CONSTRUCTION ' <br /> Date:— <br /> Total Depth Cto) <br /> Premise Address: Screen Length (from) <br /> Filter Pack (from) (to) <br /> Well No.: Bentonite (from) (tD) <br /> Grout (from) (tO) <br /> Inspector• Drilling rig type <br /> Auger O.D. I.D. <br /> Permit No. Completion- Stovepipe/christie box (circle one) <br /> Drilling Company: <br /> casing <br /> Driller: height <br /> Consultant <br /> ._ i <br /> Geologist A+ ;vE-GROUND �4STn4- OX 4 <br /> cc t�'LE-TION COMPLETION <br /> • Oramd 5uciacs <br /> SPECIAL PERMIT INFO. <br /> grout <br /> Distance to sewer line ft• <br /> If yes, location and distance- __ft• <br /> [{O _ 2 <br /> SANG f?C'�Of1 <br /> pack <br /> Holding Temperature _ <br /> Method <br /> Screening Method <br /> Tracking Sheet - C y/n ----------- <br /> -SPOILS SPOILS 4 <br /> . Yu,��ret c/DEVELOPMENT <br /> Storage Method <br /> Contamination Noted- C y/n) Casing type <br /> Storage Location Blank ft. Screen--.ft. <br /> Slot size <br /> GR=G Bags cement <br /> Buckets bentonite <br /> Bags sand/gravel <br /> Depth to water Filter Pack type/size <br /> Mix Ratios _ ge_Zoc _.=_C.y-/—n-) <br /> Installation Method Discussed with geologist: - (y/n <br /> Quantitylnstalled . Type of method <br /> EH 29 29 ' <br />