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ONITORING WELL INSTALLATION REPO* <br /> Date: dy_n G 'T A,4 Z-A �,� 2p 0 8 CONSTRUCTION <br /> Premise Address: fro n+44 e o mdt ,n 4040 - Total Depth � 'IS ��7✓r'/ IO' 4/0L <br /> tZI`fa, Far.wSdyvr�Screen Length (from) I7of (to) l SD 1 <br /> Well No.: CR til 2D _ Filter Pack (from) (to) 1,45" <br /> / Bentonite (from) / 5' (to) 11401 <br /> Inspector. V I cl' 1 �11C�Gkr �trr Grout (from) I cib` (to)_ J✓r �_ <br /> ``// Drilling rig type `IZrla Srn 1� <br /> Permit No. old.',T3 D 8 Auger O.D. A/A- I.D. <br /> Completion - Stove pipe/ ,stte (circle one) <br /> Drilling Company: W D G >�D t o rra�lr�e l�S <br /> Driller: cern M.in lw casing 1 Ing heigh <br /> Consultant 711e e$oVrec, �rrova Snc <br /> Geologist Pa+r S t1k, K t I IZ 1 &,y- <br /> ABOVE-GROUND <br /> COWLETION MON <br /> SPECIAL PERMIT INFO. Ground Suisce T <br /> Distance to sewer line warart�S�Pv F mealyy <br /> r GvtX�'CB ,v oM� <br /> Domestic well on site - (y/9 I Csd` _ sem, 4Q Ito <br /> If yes, location and distance - <br /> V Ak 120` <br /> — m <br /> — e <br /> SAMPLING donod — <br /> socicn -" <br /> Holding Temperature ��' -";�. _ VIvd <br /> padk <br /> Method <br /> Screening Method Afft— <br /> Tracking Shcet - (y/ n ) <br /> 17U tt. <br /> SPOILS <br /> Storage Method b n d^ 04114,-74d`- MATERIALS/DEVELOPMENT <br /> Contamination Noted - (y/ n ) <br /> Storage Location A) 1i- Casing typeyI -'1'4 dl CA CAIV ¢b <br /> Blank 10' ar,,W SI ft. Screen <br /> Slot size O. D zo i' <br /> GROUTING Bags cement 38 bA s <br /> Buckets bentonite ft 9V it Ry)w..Rki <br /> Depth to water. ^,,2.3 C-Dn>&)C- Bags sand/gravel <br /> Mix Ratios .S' Filter Pack type/size -W 3 <br /> Installation Method 0 Surge Block: - (y IL ) <br /> Quantity Installed X1,4 es ( f bgAL Y,r a//n•, NL,) Discussed with geologist: - (may/ n ) <br /> + Z/3 b�d�t a�^r��0 //,�,Hz r Type of method <br /> EH 29 29 O <br />