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MONITORING WELL INSTALLATION REPORT <br /> Date: /��/7 Z-- CONSTRUCTION / <br /> Premise AddWell No. <br /> Inspector: Total Depth 11-0 <br /> Screen Length ZD <br /> Filter Pack � se- <br /> f- c Bentonite Pellets G <br /> Permit No. ` J Grout ...-tea"e <br /> Consultant Completion-Stove pipe/christie box <br /> Geologist <br /> Auger O.D. /0 <br /> Auger I.D. 6 r/✓ <br /> SAMPLING - - - - --- <br /> Holding Temperature atickup <br /> Method <br /> Screening Method <br /> ABOVEGROUND CHRISTY-BOX <br /> Tracking Sheet (y/n) COMPLETION <br /> COMPLETION <br /> SPOILS ��6rouM Surlacs r��� <br /> ��� proof <br /> Storage Method g��''�" "'ems' <br /> PirL ft. <br /> Contamination Noted - yea/Lno 61ft <br /> Storage Location/A.9� f" <br /> +' <br /> ft. <br /> - m <br /> m <br /> SPECIAL PERMIT INFO. <br /> o <br /> slotted E <br /> Distance to sewer line section - .8 <br /> Domestic well on site - yes/no _ gravWPack <br /> If yea, location & distance - <br /> 1x ft, 1t. <br /> GROUTING <br /> MATERIALS USED: <br /> I 1� <br /> Depth to water 7 y <br /> G Casing type I ry <br /> Mix Ratios .>'+� Blank—110 ft. Screen �z.o ft. <br /> Installation Method Slot size.rib <br /> F <br /> Quantity Installed �,! 't Bags cement vl <br /> Buckets bentonite <br /> Bags sand/gravel 'U <br /> Filter Pack type/size 7 ' <br />