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WONITORING WELL INSTALLAMON REP# <br /> Date: /0 - / GV�dJn CONSTRUCTION �J <br /> Premise Address: 61%— 2025 W (X 'e- Total Depth <br /> / Screen Length (from) (to) <br /> Well No.: 4110 16S'e' Filter Pack (from) (to) 2 <br /> Bentonite (from) 512— (to) <br /> Inspector: Grout (from) <br /> '/ Drilling rig type <br /> Permit No. �QLT Auger O.D. I.D. <br /> Completion - Stove pipe/christie box (circle one) <br /> Drilling Company: <br /> Driller: sy—et v casing <br /> height <br /> Consultant <br /> Geologist ABOVE-GRCUND <br /> COMPLETION COMPLY-BOX <br /> COMPLETION <br /> SPECIAL PERMIT INFO. Ground Surf'°' <br /> Distance to sewer line �� <br /> 75 r grout <br /> Domestic well on site - (Y 4D - ft. <br /> If yes, location and distance - ft, <br /> 78 <br /> = e <br /> = e <br /> SAMPLING slotted = t-' <br /> sec5on <br /> Holding Temperature = gravel pack <br /> Method <br /> Screening Method = r <br /> Tracking Sheet - (y/ n ) <br /> It. <br /> SPOILS ``�� /n ��Q� <br /> Storage Method �� '5 +t — MATERIALS/DEVELOPMENT <br /> Contamination Noted - (y/ n ) I 1 Lir` VC <br /> Storage Location Ya ` 2�L5y l a Casing type !! I <br /> Blank b �_ft. Screen 6 ft. <br /> Slot size <br /> GROUTING Bags cement 7 <br /> _ Buckets bentonite So' <br /> Depth to water �J r Bags sand/gravel <br /> Mix Ratios I Filter Pack type/Ste <br /> e <br /> Installation Method Surge Block: - (�n ) <br /> Quantity Installed Discussed with geologist: - i,y n ) <br /> Type of method 1 <br /> EH 29 29 <br />