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ONITORING WELL INSTALLATION REPO <br /> Date: 'J t— n—& 31200,:F CONSTRUCTION <br /> - Ir <br /> Premise Address: -Fron-} R01 Total Depth 19Sf"eP.4 -_ bI4465-18b) <br /> ?7PeaY KornPs /(� Screen Length (from) IBS (to) /GS <br /> Well No.: CRW 1 n Filter Pack (from) 1451 (to) (LO r <br /> / �A Bentonite (from) /Gd r (to) /S-S <br /> Inspector. V, k'I �V l C 11 Yl"YlQiLt Grout (from) /SS' (to) s L j!t — <br /> Drilling rig type RYYSo SvA)I G <br /> Permit No. 006-4309 AageP-A:D• IJA I.D. <br /> Completion - Stove pipe/cltristie box (circle one) <br /> Drilling Company: WDCiExlorr< f on and> Weis <br /> � 5�; C <br /> casingDriller: -TOM >7oYheight <br /> i <�- 1441% � 1CDIywJ �— <br /> Consultant -1-ha Saua ' YOV71 <br /> =I1c• <br /> Geologist Ta+r i c k K e l!p ti P.r <br /> A80VE-GFCUND CNAISTY•80X <br /> CONPLEfION COt.1 umc <br /> SPECIAL PERMIT INFO. L Ground Surfan <br /> Distance to sewer line ,,0 Orart <br /> Domvrtic well on site - (y/ n ) inLit c4M.l ldr�-*-12- ft. <br /> If yes, location and distance - ry- <br /> ^2oD fuY Win. <br /> SAMPLING ) slonad = <br /> aec'icn • <br /> ISO, <br /> Holding Temperature �o _ vivo'Pa�;X <br /> Method Caule'-- W% i e t = <br /> Screenin; Method ty A r; <br /> Tracking Sheet • (y/ n ) <br /> _18Srt. = 19� tt, <br /> SPOILS <br /> Storage Method lin --Gr SO l `a/J MATERIALS/DEVELOPMENT <br /> Contamination Noted - ( y/ n ) <br /> Storage Location N 11- Casing type 21 n t 4 Sf h zd*le -4Q <br /> Blank Ig - /0' ft. Screen 20 ft. <br /> Slot size 0 , 0,20 • <br /> GROUTING Bags cement s �- /� <br /> T1, ZV- <br /> Buckets bentonite QJrw t^mI i ggi.�✓.A <br /> Depth to water r J.SBags sand/gravel Cemg-)„_LQ�I� IOD" <br /> Mix Ratios �o �/ q q-lh Filter Pack type/size <br /> Installation Method - u Surge Block: - ( y PIS „ .., rgwr Soni v <br /> Quantity Installed Y Discussed with geo oglst: - y n ) t� <br /> Type of method <br /> EH 29 29 <br />