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MONITORING WELL INSTALLATION REPOtcf <br /> Date: ��� �D -gdpT CONSTRUCTION ,� <br /> Premise Address: G / IV Q Total Depth_ 04 r <br /> Well No.: // � Screen Length (from) 0 (to) lib <br /> Filter Pack (from) 0 (to) M <br /> Inspector: (�� Bentonite (from) (to) d <br /> P Grout (from) /off (to) <br /> Permit No. ©Q�QA6L Dr 11 ng rig type ------ <br /> Auger <br /> Auger O.D. Ff' I.D. <br /> Drilling Company: &,q,Qa*Cdoyt Completion - Stove pipe/christie box (circle one) <br /> r� <br /> Driller: 7/- / �i casing <br /> 1 � 6� � � �� ♦I height <br /> Consultant �Q. i"f ✓� <br /> Geologist /lLD� /N A,41 <br /> .Gn Oy/f-�-<•i ACCWGROUND _qVT <br /> COt�LET10N CliAISTY-BOX <br /> SPECIAL PERMIT INFO. / � Ground x <br /> Sale COMPLETION <br /> Distance to sewer line 8 e prarl <br /> ee well on site - y n ) 10J� _ <br /> 4 yes, location and distance - ft• <br /> ft. d ft. <br /> = m <br /> SAMPLING =_ <br /> slotted _ c <br /> �yoC .anon <br /> Holding Tern rture / <br /> Method gavel pack <br /> w <br /> Screening Method / <br /> Tracking Sheet -( y n ) <br /> tL <br /> SPOILS / <br /> Storage Method MATERIALS/DEVELOPMENT <br /> Contamination Note - (y <br /> Storage Location Casing type_ 2,' <br /> Blank //0 ft. Screen /Zo ft. <br /> Slot size . O/O <br /> GROUTING Bags cement -3 <br /> i Buckets bentonite <br /> Depth to water Bags sand/gravel (o Z <br /> Mix Ratios 0lH A Filter Pack type/size 3 <br /> Installation Method , C Surge Block: - (yn <br /> Quantity Installed s cm -+ /SU aeAWL - �� Discussed with geologist: - (Y <br /> q�Cm Type of method <br /> EH 29 29 �u �� <br /> i�22 rZ�a� Aw 7 OaZ <br />