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MONITORING WELL INSTALLATION REPORT <br /> Data: <br /> CONSTRUCTION <br /> Pre eC,Addr s• Well No. /-1 2. <br /> Inspector: Total Depth <br /> Screen Length <br /> Filter Pack__ <br /> �y Bentonitt -�►" <br /> Permit No. !J'' �� e PellesGrout — —� --� <br /> Consultant L Compl <br /> Geologist etion-Stove pi /christie box <br /> Auger O.D. , Z <br /> SAMPLING Auger I.D. ,Z <br /> Holding Temperature <br /> Method <br /> .Wup <br /> ScreeningMethod <br /> Tracking Sheet y n) <br /> MOVE-GROUND <br /> GOWLEnON O ISTY_wx <br /> SPOILSCOMPLETW� <br /> amxd su:.e. <br /> Sal <br /> Storage Method / <br /> Contamination Noted - as o —h• <br /> —h h. <br /> Storage Locati n — <br /> Clll.l Sf� . <br /> 0 <br /> SPECIAL PERMIT INFO .�o�we <br /> ..c on I <br /> / _ V�•�VrY <br /> Distance to sewer line LlZ = <br /> Domestic well on site - yes <br /> If yes, location & distance - __n. _ �n• <br /> GROUTING MATERIALS USED, <br /> Depth to water Casing type SSC � /�V C �2,0 <br /> Mix Ratios Blank' _ ft. Screen��ft. <br /> Installation Method Slot size A plo <br /> Quantity Installed Bags cement <br /> Buckets bentonite <br /> Bags sand/gravel <br /> Filter Pack type/size Z� <br />