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4/ PAGE ( OF_ <br /> MONITORING WELL INSTALLATION REPORT <br /> Date. CONSTRUCTION <br /> Premise Address: C , Well No. � ' l <br /> Inspector• r Total Depth <br /> Screen Length <br /> Filter Pack <br /> Bentonite Pellets .3— c;. <br /> Permit No. d Jl� Grout -S <br /> ris Consultant")5c& Completion-Stove pipe/ <br /> Geologist <br /> Auger O.D. y <br /> Auger I.D. <br /> SAMPLING <br /> a C <br /> Holding Temperature 8**-up <br /> Method <br /> 17 <br /> Screening Method ,. <br /> ABOVE-GROLIND CHRISTY-BOX <br /> Tracking Sheet &n) COMPLETION COMPLETION <br /> SPOILS Around SLOW0 + <br /> grout <br /> Storage Method �� <br /> Contamination Noted -Mo . <br /> Storage Location <br /> m <br /> o <br /> m <br /> SPECIAL PERMIT INFO. n <br /> slotted <br /> Distance to sewer line vection <br /> Domestic well on site - yes/no <br /> gravW pack <br /> If yes, location & distance - <br /> GROUTING <br /> MATERIALS USED: <br /> Depth to water a Casing type <br /> Mix Ratios / Sr.�-e _ .�,1 ��S�.rr Blank__Ig;�� ft. Screen ft. <br /> Installation Method /utLa7rsJ*._.� Slot size Com. D0 <br /> Quantity Installed Bags cement <br /> Buckets bentonite Q <br /> Bagsn�r gravel <br /> Filter Pack type/size <br /> Total Billed Time Per Site <br /> Date Permit Finalized <br />