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MONITORING WELL INSTALLATION REPORT <br /> Date: IV 6 V e»L bz,7- I. ZOOS CONSTRUCTION <br /> Premise Address: 309 /J, &Y-flalf Total Depth <br /> W l Screen Length (from) 571 (to) 30 <br /> Well No.: Filter Pack (from) 6-0 (to) a q - <br /> Benibnite (from)�a =to) 2 1 <br /> Inspector. V i elk M n�ar h . Grout (from) 427 (to)Sur ties <br /> .Drilling rig type ' - '7b- <br /> Permit No. 004-1 5 S Auger O. D. I.D._ <br /> Completion - Stove pipe/clu-istie box (circle one) <br /> Drilling Company: 5 N8/�c �✓ l 111L, <br /> Driller. casing <br /> moon CTiE t,nde r 1 �bn �dViO��e-n� srn � T height <br /> Consultant �dVannrd✓ CetiC-,fl `c41 qv. do <br /> Geologist_ L ja I` <br /> !WAVE-GROUND <br /> COkPLEDON OK-127Y-BOX <br /> SPECIAL PERMIT INFO. L C=nd Su21 <br /> Distance to sewer line 76 �Qp l 5gul� /iys�a,� yJ7.Yly✓ Sf, prat <br /> Domestic well on site - (y/& It <br /> If yes, location and distance - -_fl— <br /> h. <br /> 30 h. <br /> Vti <br /> - — c <br /> SAMPLING <br /> alor� < <br /> soden <br /> Holding Temperature <br /> Method_ A/A- <br /> Screen*=Method Al A <br /> Tracking Sheet - (y/ n ) A/tF = <br /> SPOILS / <br /> Storage Method- gn S i t[ S� Chir, !I r"O rn S ?YTATERIALS/DEVELOPMENT <br /> Contamination Noted - n� <br /> Storage Location rn-i S,4-z Casing type �} }it FYG �L'�eG�N� 4'0 <br /> Blank fr. Screen -2 O _fr• <br /> Slot size_ ?1 D 3 b i n Clze.S <br /> GROLrIING Bags cement77�s );N <br /> hyo �y Buckets bentonite Pur. !;o m4dlLu a� s <br /> Depth to water3D Fee Bags sand/gmvel SO ou ,t 3 0- <br /> Mix Ratios i35-W r,, H,# 1- G �[ 7 k64Sa1,-t - Fater Pack type/size J1,3 Ona eiv Lo rse <br /> dpstalladon Method u .l PO rfI Surge Block: - &n ) " Sa y, <br /> Quantity Installed " _ Discussed with geologist•. - &n) <br /> 'i,� Type of method S U ry e h I Ur�t <br /> EH2929. GrL�nZrtceJ(f2e�f�tkTsyaavcLLLt� <br /> rfl�t aen , Tn.r , <br /> - � z <br /> s ut,g�pota Lv.s3r� <br />