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0 0 <br /> MONITORING WELL INSTALLATION REPOnf <br /> Date: i 5 Zo o1' CONSTRUCTION <br /> Premise Address: Total Depth <br /> ��//�f /ZS Screen Length (from) / (to) <br /> Well No.: )C/ 7 #� Filter Pack (from) (to) <br /> �,,,,t entoni om)71 (to)T_ <br /> Inspector: Grout — ft,) — <br /> :FZL 7. Drilling rig type A5791 45 <br /> Permit No. ��f�/q Auger O.D. /V I.D. 4 <br /> Completion - Stove pipe/christie box (circle one) <br /> Drilling Company: � <br /> Driller: �� f /"l casing <br /> height <br /> Consultants /�1L <br /> Geologist _ t/ •- <br /> ABOVE—GROUND <br /> IO <br /> OONFLETbN CHRZITY-BOX <br /> OMPLCOMPLETION <br /> SPECIAL PERMIT INFO. Ground Surface �p <br /> Distance to sewer line r grout <br /> Domestic well on site - (y/ n ) , n <br /> If yes, location and distance - ft — 42e4c <br /> = m <br /> — o <br /> — s o <br /> SAMPLING dotted = 'c <br /> . wctcn — - <br /> Holding Temperature = 9,a d Pack <br /> Method = _ <br /> Screening Method = <br /> Tracking Sheet - ( y/ n ) <br /> SPOILS <br /> Storage Method MATERIALS/DEVELOPMENT <br /> Contamination Noted - ( / n ) i ��� <br /> Storage Location Casing type <br /> Blank Go ft. Screen <br /> Slot size D 1 D <br /> GROUTING Bags cement <br /> Buckets by ito i e 60 <br /> Depth to water Bags sand/gravel <br /> Mix Ratios lit Filter Pack type/size <br /> Installation Method Surge Block: - (y n <br /> Quantity Installed Discussed with geologist: - (y <br /> Type of method <br /> EH 29 29 <br />