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%L H . <br /> MONITORING WELL INSTALLATION REPORT <br /> i <br /> �� <br /> Date: 2 � � !a CONSTRUCTION ' <br /> Premise Address: 2 U.S4rrr�f�+. Total Depth 52 ' <br /> ! S�-n Length (from) - 'Tto) 2 5- <br /> Well <br /> Weil No.: Fiater Park (from) �_Z ' –(to) Z Z YT <br /> �(� lrJ 01 i' Benronire (from) Z YP (to) '?-0 <br /> + <br /> Inspector- Grout (from) y Cto) <br /> r <br /> Dn7.iing ng tyQe B 1 <br /> permitNo. (� � gauger O.D. g 1._D. L+ !�k1 <br /> Z ,, r Completion -Stove pine/chrisde box (circle one) <br /> Drilling Company: CA F <br /> DrZler. UIG.� r� Cr 1 _ casin <br /> he= t <br /> Consultant • 1 • <br /> Geologist <br /> A.3CYr-GRCIJ ID CHRIS'Y-3CX <br /> + <br /> SPECiA-L PERNIIT INFO_ Y &=zdSurly <br /> Distance to sewer line lv <br /> Domestic well on site - (y a ti <br /> if yes, location and distance - i <br /> Z9. <br /> SANTLING <br /> soc:an = Z <br /> � Holding Temperatwe 72wt rack <br /> Method 944 IC ' <br /> Screening Merhod <br /> Tracking Sheet y/ n56 4L <br /> ) — + <br /> SPOILS ii ] 0.5 n c "'J. On 0.yuy 86WLZ S-PT Uhf 6t� <br /> Storage Method a •O �� �y 1VIA'I�S/DEVELOPNENT <br /> V. <br /> Contamination Noted - (y'CIi !, Z • p v r <br /> Storage Location 0aC Qy Casing type <br /> Blank fr- Sc:een <br /> Slot size [7 <br /> C-ROU77NG Bags cement <br /> ? 1 ` Buckets bentonite <br /> Depth to water J 2 Bags sand/gravel I Z <br /> Mix Ratios cuter?ack type/ e � <br /> installation Method Surge Bloe-k: -lam n } <br /> Quantity Installed Disc*_ssed with geologist: - [�/ n } <br /> Type of method <br /> H 29 29 r <br />