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MONITORING WELL INSTALLATION REPORT <br /> Date: ` / F(D ONSTRUCTION <br /> Premise Address: Sol Well No. V- 7 <br /> Inspector: Total Depth S S-' _ _ <br /> Green Length Y <br /> filter Pack - 5S-,- <br /> entonite Pellets_ <br /> Permit No, rout <br /> Consultant &I Completion-Stove pipe/%ie box <br /> Geologist <br /> Auger 0.D. /fl <br /> Auger I.D. , _° <br /> SAMPLING _. <br /> Holding Temperature �- atldc-up <br /> Method <br /> Screening Method.___�vM <br /> ..YE-GROUND RIS'TY-BOX <br /> Tracking Sheet y n) IMPLETION COMPLETION <br /> SPOILS <br /> Storage Method <br /> Contamination Noted - e /no �• <br /> Storage Location n- <br /> /0ft. <br /> , m <br /> .O <br /> SPECIAL PERMIT INFO. <br /> Waitede <br /> Distance to sewer line K 11 a�crion <br /> Domestic well on site - yes/no = QMVW <br /> If yes, location & distance - < <br /> �i <br /> GROUTING <br /> 14ATERIALS USED: <br /> Depth to water V A acing type._ ,SVG SGf/ $, Yo <br /> Mix Ratios 1 Aa4$ cemnA64 A Q'17a*- lanky ft. Screen �S/S ft. <br /> Installation Me hod �an_ �G K lot sizeK _ <br /> Quantity Installed 3age cement <br /> uckets� ntonite <br /> ags sand grave Iq <br /> Filter Pack type/size j,� <br />