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MONITORING WELL INSTALLATION REPOR <br /> _ .7 2 064_ CON�ON <br /> Dater Y <br /> Premise Address: 42-5- r�'kt• nood—?�¢� CA Total Depth Screen Length (from) (to) 3 0�g <br /> Filter Pack (from) (to) _ <br /> Well No.: b W- J8 Bentonite (from) -�- <br /> 23 <br /> ic�1 • Grout (from) <br /> Inspector. Drilling rig type <br /> Auger O.D. 9 ..e,6�-�_1I.D. <br /> 00 <br /> Z / 4 1 S a n lx[S <br /> Permit No. Completion - Stove pipe/cli istie box (circle one) <br /> Drilling Company: <br /> We��s fir; lI kJP� Ca <br /> I -��� caei.n <br /> Driller: � TVL heightt <br /> n <br /> d�Y 112r't flJsisfb - �4GIQz < �q <br /> Consultant 111319k 1 n ' �o+�rn �- ✓�f � J { <br /> Geologist V D>rg 2 r L�C Z M � - /�gr�vE-GACUN[) c4GtSTy-Box <br /> Ass.0.) 1NincP� B �au�n cawt-` oti eeetPt_mc <br /> Ground Suslacr <br /> SPECIAL PERMIT INFO. _I r pran <br /> Distance to sewer line �T Y<e ��✓-ten 7 2 3 ft. <br /> Domestic well on site . ( Y/0 2 {t- <br /> If yes, location and distance - o _ <br /> _ a <br /> o <br /> _ c <br /> alcruJ = � <br /> SAMPLING = B <br /> secicn <br /> Holding Temperature <br /> Method =TeG na�lo� <br /> Screening Method <br /> ID _ <br /> Tracking Shcet <br /> SPOILS <br /> MATERIALS 'DEVELOPMENT <br /> _ � J <br /> Storage Method 5 P V <br /> Contamination Noted - 1 Casing type ft <br /> Storage Location r Blank /_p_ft. Saeen 3 D <br /> Slot size D <br /> IIags cement u G <br /> GROUTING Buckets bentonite I / L 1r <br /> �r9 >7u 6�30 <br /> Bags sand/gravcl 3. <br /> Depth to water lewd" � f a ajun� Filter Pack type/size � z <br /> Mix Ratios G Ibs' <br /> L p, �.� Surge Block: - (Y/d <br /> Installation Me old ? Q� - 1T Discussed with geologist: - ry/ n ) <br /> Quantity installed 5 y Type of method <br /> EH 29 29 <br />