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- - MONITORING WELL INSTALLATION REPORT <br /> Date: 7_0 CONSTRUCTION r , / <br /> Premise Address: 2-0 5 - F�-k 14,Cl Total Depth. go 119j <br /> Screen Length (from) (to) <br /> Well No.: -3 Filter Pack <br /> (from) (to) <br /> Bentonite (from) (to) <br /> Inspector. _ �11Av.COI <br /> L Grout (from)_ (to) <br /> Drilling rig type' <br /> Permit No. (nZ� / Auger O.D.' 2 <br /> 1 '� I.D. <br /> Completion - Stove pipe/christie box (circle one) <br /> Drilling Company_ ce�-�fnz diz:f <br /> Driller: <br /> Consultant- <br /> Geologist Iy <br /> grout <br /> SPECIAL PERT]NFO. seal <br /> MI <br /> Distance to sewer lineft. <br /> Domestic well.on site .- (y/ <br /> If yes, location and d' ce - <br /> gravel pack <br /> SAMPLING --- <br /> seal <br /> Holding Temperature_CSW. LC-, <br /> 92ft. <br /> Method. 6 �G. --- - - - <br /> Screening Method t011> <br /> Tracking Sheet / n) <br /> gravel pack <br /> SPOILS <br /> Storage Method $15�W oJAIn ti MATERIALS/DEVELOPMENT <br /> Cont4minadon Noted - y/n) <br /> Storage Location_ MA Casing type 3 <br /> Blank ft Screen S ^' S K• <br /> Slot size <br /> GROUTING Bags cement <br /> Buckets bentonire <br /> Depth to water Bags sand/gravel - <br /> Miz Rados Filter Pack type/size i <br /> Iltstalladon Method ^Minn �L� r,r Surge Block: - (y n <br /> Quantitylnstalled ,v 2 X 61 Discussed with geo_ gist: - (y <br /> Type of method <br /> EH•29 29 <br /> Lir✓ . <br />