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`,,oNITORING WELL INSTALLATION REPOI%d <br /> e'lo u lc a�l a o� c— <br /> Dater_._. rr.Gr corlsTRucrloN sand � .sW1r,, <br /> - I t <br /> Premise Address:_ ame.� ! t. rt e, Total Depth ! 3 <br /> Screen Length (from) Ila ,—(to) 0 ' <br /> Well No.: "13 Filter Pack (from) jt ' (to) <br /> Bentonite (from) !O t i (to) 101 <br /> Inspector: " Grout {from) . <br /> _ � I ___(to) sr <br /> u -.E._ <br /> Drilling rig type <br /> Permit No, dO- .2 q ZL Auger O.D. i ` <br /> Completion - Stove tpe/clirisde boxircle one <br /> Drilling Company:,,,�, �2.5��� I'� � 1�,�� <br /> Driller: rf a ti W�n casing <br /> T�,t) D4Vid6r' -, o,1 1<�Jrsn. + height <br /> Consultant 4 e.AiC. <br /> Geologist. _ ,TwAJ :2ls h_cp -- <br /> 514re,�_ Paw 1,k 5 r e-OA, � T�oNO CHRMTr-80X <br /> PECIAL PERMIT INFO. G=nd Sulace <br /> Distance to sever line 310-h -14�1'a Drcut <br /> Domestic well on site - (y/n 30 1 0 / • ft. <br /> Ifyes, location and distance - 60, �PP� <br /> 4P� ILS.tt. <br /> 1.� C <br /> I I U ' <br /> SAMPLING <br /> sac9cn �' -- <br /> Holding Temperature <br /> Method III — vivo'Pack <br /> Screening Method .' <br /> Tracking Sheet - y n ) �X <br /> 113- -ft. ._...._. 3 fL <br /> SPOILS <br /> Storage Method S5 `GAfff'yi Broin-r MATERIALSMEVELOPMENT <br /> Contamination Noted - (y/n ) � '/� ���40 <br /> Storage Location o�_s,-l-<_ Casing type SA <br /> Blank 10 53 ft. Screen <br /> Slot size o,O)o 'I wd, <br /> GROLMNG 7!b-Bags; cement j2jU Yb' r—di <br /> �` <br /> Buckets bentonite P �l_U -su <br /> Depth to water "' t 3 Bags sand/gravel - 0-i� — ms's Q„G1''`_ <br /> Mix Ratios 4- /► �f Filter Pack type/size �� �a- <br /> Installation Method Surge Block: - ( yT <br /> Quantity Installed S t-$S�-r SSSS Discussed with geo ogist: - n} <br /> Type of method <br /> EH 29 29 <br />