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MONITORING,WELL INSTALLATION REPORT <br /> 1 o cavi rn. Of W - "7 -`1-n, `bs e-*rnad A <br /> ?G-52�, vi'c - J' aHj-eL No, ll/,?,3 <br /> Date: Ma rdl, g Q / CONSTRUCTION <br /> Premise Address: 3 2 �/ 4Q mrne,-(-Q n e_ Total Depth <br /> Screen Length (from) (to)--f <br /> Well No.: M W - 7 Filtet Pack (from) .2 (to) ;_2 <br /> Bentonite (from) (to)� <br /> Inspector: ;Cje- L Y Grout (from) (to) .Su r�&Z-e. <br /> Drilling rig type r <br /> Permit No. S i� # 0 0 0 G 1 8 g S Auger O.D. I. zs <br /> Completion - Stove pip c stie box (circle one) <br /> Drilling Company:'Resflvia r&San+cr--rnte,rr1&+;pna� sem, <br /> Driller:_ fAarCb S -Rod ri Q uL--C casing <br /> in T <br /> height <br /> Consultant Straf U s E ny i r o rtm (S+r-a+dS <br /> Geologist Ai I axt I U Ad, n Q _ S}ral u s <br /> ABOVE-GROUND <br /> COWPLET{ON IOMPLET <br /> NRZ*TY-BOX <br /> SPECIAL PERMIT INFO. Ground Surface <br /> Distance to sewer line UY► k>7 D W n grout <br /> Domestic well on site - (y/di ) <br /> If yes, location and distance - <br /> ft. ft. <br /> _ m <br /> p <br /> m <br /> � � C <br /> SAMPLINGl— .s _ <br /> � l s p nz p � Cr//�fr�l =�t� _ <br /> aeon — g <br /> Holding Temperature 4 b�j <br /> Method <br /> Screening Method Y Q - Ze ra J-, <br /> Tracking Sheet - n ) <br /> ft. <br /> SPOILS �eavinq -wnjs <br /> a 'SV ) <br /> Storage Method MATERIALS/DEVELOPMENT U <br /> Contamination Noted - ( / n <br /> Storage Location Mn StCasing type <br /> Blank q ft. Screen ft. <br /> Slot size d.d 1 6 " <br /> GROUTING Bags cement / s baa SASM;jxz <br /> Buckets bentonite Z' <br /> Depth to water_ 3. ! Bags sand/gravel s <br /> Mix Ratios v /fv�,,S oL 6,)Ale,�-+tt 3/4 o fa Y7-Jb Filter Pack type/size 3 <br /> Installation Metho oa1„rA,&/ 4,rr2n 4 jogp tc Surge Block: - ( y/D <br /> Quantity Installed_ -'2 bc2't!,V-s a .(z J, Discussed with geologist: - ( y61 <br /> Type of method N 6 <br /> EH 29 29 <br /> ram r►�►'� lint 6 v e," <br />