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MONITORING WELL INSTALLATION REPORT <br /> Date: 1�/S n UQ Y lei a 200 <br /> CONSTRUCTION <br /> � Q rG I1D/J Tre¢�� C� Total Depth 40 <br /> Premise Address: 4 <br /> Screen Length (from) d (to) 0 r <br /> M Filter Pack (from) ' 2 <br /> 4n (to) 281 <br /> Well No.: — Bentonite (from),_ a R (to) 23 ' <br /> Grout (from) <br /> Inspector. y i r k i M C ` Y Drilling rig type <br /> Auger O.D. i n r s I.D. <br /> Permit No. 00 ;3 a — /� C Completion <br /> �CYil�lr�Q Q� - Stove pipe/duistie box (circle one) <br /> Drilling Company. WeeU»7� °, <br /> casing <br /> Driller: Tim �o I�� <br /> I <br /> � height <br /> Jr Iler's AsSlsia.vl - yya,rt 614z� � <br /> Consultant (�IQke lu ErYVlYtrnme <br /> L eFq�; <br /> Geologist lom�S Vdz�hin ABOVE-GROUND CtRtS7Y30x <br /> laSSiS a _ �, B roW rt OW&LEIION ON <br /> Ground Suiaci <br /> SPECIAL PERMIT INFO. <br /> proof <br /> Distance to sewer line :3 Lt. <br /> Domestic well on site - (y/( 2 ft. <br /> Ifyes, location and distance - ^R <br /> m <br /> C <br /> SAMPLING secicn <br /> Holding Temperature <br /> Method Te e 1 n r n I p�— ;a# <br /> Screening Method ' <br /> Tracking Sheet - y — tt, <br /> SPOILS <br /> .. T•cnret c/DEVELOPMENT <br /> Storage Method S ��z g/o S'�'�� Z� <br /> Contamination Noted - Casing type <br /> Storage Location rt S Blank_ i p _g• Screen <br /> Slot size <br /> Bags cement t b boat <br /> GROUTING Buckets bentonite 2 5D I <br /> Lrct9 .30' Bags sand/gravel - - L <br /> v0 a� <br /> Depth to water I u7aP r a� 10 Z Filter Pack type/size m a r <br /> Mix Rados r }�a 16 ceme <br /> a Surge Block: - (y/ n <br /> Installation Method A r # Discussed with geologist: - (�/ n) <br /> Quantity installedT e of method <br /> �fe'rl l _em yp l <br /> EH 29 29 <br />