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.ONITORING WELL INSTALLATION REPS <br /> Date: 7/Z�/ � CONSTRUCTION <br /> Premise Address: JC�O g � ,�� Total Depth <br /> i Screen Length (from) (to) <br /> Well No.: �GGc�-�i rC�- 2/ �C w Filter Pack (from) (to) <br /> Bentonite (from) (to) <br /> Inspector: IL� Grout (from) (to) <br /> LL Drilling rig type <br /> Permit No.7&0 06 307 f Auger O.D. I.D. <br /> �S Completion - Stove pipe/clu-istie box (circle one) <br /> Drilling Company: <br /> Driller: casing <br /> e�J F height <br /> Consultant 'd <br /> Geologist p—(a'AA ( .�(ZA'AZ� —QE <br /> T <br /> ABOVE-GRCUND Ct R*IrY-80X <br /> CONFLErION COMPLETiCN <br /> SPECIAL PERMIT INFO. G=nd Sumacs <br /> Distance to sewer line Grout <br /> Domestic well on site - (y/ n ) <br /> ft. <br /> If yes, location and distance - <br /> �. ft. <br /> O <br /> SAMPLING �lorod — <br /> soc�cn — <br /> Holding Temperature <br /> Method _ <br /> Screening Method .c <br /> Tracking Sheet - (y/ n ) <br /> ft. 121 ft. <br /> SPOILS <br /> Storage Method MATERIALS/DEVELOPMENT <br /> Contamination Noted - (y/ n ) <br /> Storage Location Casing type <br /> Blank h. Screen ft. <br /> Slot size <br /> GROUTING Bags cement <br /> Buckets bentonite <br /> Depth to water Bags sand/gravel <br /> Mix Ratios Filter Pack type/size <br /> Installation Method Surge Block: - ( y/ ii ) <br /> Quantity Installed Discussed with geologist: - ( y/ n ) <br /> Type of method <br /> EH 29 29 <br />