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60NITORING WELL INSTALLATION REP* <br /> Date:_ I� IbS CONSTRUCTION <br /> Premise Address: L �La-,t Total Depth <br /> _ �I - Screen Length (from) (to) <br /> Well No.: �-o �d�[. Filter Pack (from) (to) <br /> Bentonite (from) (to) <br /> Inspector: Grout (from) (to) <br /> Drilling rig type <br /> Permit No. Auger O.D. I.D. <br /> Drilling Company:_ Completion - Stove pipe/christie box (circle one) <br /> Driller: C casing <br /> Consultant height <br /> rTl— jn —W7 <br /> Geologist _ <br /> T <br /> ABOVE-GROUND <br /> CONFLI_TCN CNRSS7Y48OX <br /> SPECIAL PERMIT INFO. COMPLE71ON <br /> Ground Suriacs <br /> Distance to sewer line grout <br /> Domestic well on site - ( y/n) <br /> If yes, location and distance - ft. <br /> ft. ft. <br /> SAMPLING = o` <br /> slotted — c <br /> Holding Temperature <br /> Method : = l&YW Pack <br /> Screening Method _ <br /> Tracking Sheet - (y/n ) <br /> fL <br /> SPOILS <br /> Storage MethodN!A, MATERIALS/DEVELOPMENT <br /> Contamination Noted - (y/n) r ' I <br /> Storage Location Casing type �t �l���t $ L `C <br /> Blank ft. Screen ft. <br /> Slot sizeQ. 0/0 <br /> GROUTING Bags cement <br /> Buckets bentonite <br /> Depth to water 7 Bas sand/ <br /> gravel. <br /> gravel <br /> Mix Ratios Filter Pack type/size <br /> T4014— <br /> Installation Method Surge Block: - (y/ n) <br /> Quantity Installed Discussed with geologist: - ( y/ n ) <br /> EH 29 29 Type of method <br />