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Pt*mor 3 <br /> MONITORING WELL INSTALLATION REPORT <br /> Date: June. 9. -06 8 CONSTRUCTION r�� Ad/7iIle- BG/ <br /> Premise Address: 93z0 3� FirinG Well No. C L✓-4 �dG� /ZEgr <br /> Inspector: ✓r�� .per. Total Depth 3 f <br /> !!!! Screen Length 39' -2 24' � <br /> Filter Pack 391 4? <br /> Ar7 Sentonite Pellets_ .2G.S' 47 2V ' <br /> Permit No. �Q.$ .Z ODa Grout �.�` 4Z <br /> Consultant -Tho'Tho Abijr.,� G'r yo :rhe, Completion-Stove pipe/christie box <br /> Geologist Kriste,-rCT '� i_j_r_;// <br /> 1*147 /4;11 S07yl, Auger O.D. <br /> Auger I.D. 3S"ihG✓iG.f <br /> SAMPLING <br /> 4 T <br /> Holding Temperature 0t stck-up <br /> T <br /> Method ICL. ;,a /'ea <br /> Screening Method /Jf} _- <br /> AWVE-GFCUND <br /> Tracking Sheet (y/n) NA ��L�!aN CCMPL-'TION <br /> GrwndSurfaca <br /> SPOILS <br /> grout <br /> Storage Method—ed JrS-L/Q/�.,, �r�m.t .24 <br /> Contamination Noted es/( 5- <br /> ft <br /> Storace Location <br /> m <br /> SPECIAL PERMIT INFO. — c. <br /> o <br /> tlottad — c <br /> Distance to sewer lire `tS�StG.zc.-��r4waA wcicn <br /> Domestic well on site ve- no / _ Lm�Pack <br /> If yes, location & distance <br /> •^ 200 ' = j <br /> ft. =Itt. j <br /> GROUTING <br /> MATERIALS USED: <br /> Depth to water Z9 4eef ✓7S casing type a' -ii,r+„� 4� /e46 <br /> Mix Ratios -/b 10, 9 ft. .Screen /0 ft. <br /> Installation Method ,q `�jrpveih J+A'Vse"' Slot size Q . o20 ;?LAL�./ <br /> Quantity Installed - / q' �rP Sags cement3 �{-/ PJ4dO`fG�� <br /> • 3. S bgsLs rf 95�/ 6-1�JW4�f7 b� 1�40/07v$ Buckets bentonite V '1c41/0 /�Ul�lvOa <br /> Bags sand/gravel �S <br /> - GE IJ <br /> 1 Filter Pack type/size sF�,i LUs}fit <br /> 'otal Billed Time Per Site �,Z014;,7VYGJ- <br /> late Permit Finalized <br />