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` MONITORING WELL INSTALLATION REP <br /> Date: I I II L 4 CONSTRUCTION <br /> i <br /> Premise Address: c�tl * (ZJ � Total Depth 1�� <br /> ��� Screen Length (from) 1 (to) <br /> Well No.: Filter Pack (from) 1 V5 (to) 11, <br /> Bentonite (from) i2 (to) 74, <br /> Inspector: Grout (frog). (to) � .w <br /> Drilling rig type L- U <br /> Permit No. Auger O.D. I.D. ti <br /> t (jp,e,o - to _ ipe/christie box (circle one) <br /> Drilling Company: <br /> Driller: casing <br /> / height <br /> Consultant TLnn <br /> Geologist 1"L all ��16) � y 7 7 3��� � <br /> AOUN CHi M-BOX <br /> COMPLETION <br /> SPECIAL PERMIT INFO. G=nd Sur9aet <br /> Distance to sewer line grout <br /> Domestic well on site - ( y/ n ) <br /> If yes, location and distance - ft. <br /> q/ ft. <br /> o <br /> l <br /> o t� c , v� <br /> SAMPLING /l/ U S 0 i <' sbttad = c <br /> we.on <br /> Holding Temperature %V'; _ vivo'PackMethod <br /> Screening Method µc = <br /> N <br /> Tracking Sheet - (y/ n ) <br /> 4 —n ` = n. <br /> SPOILS "`b 16 <br /> Storage Method 0.AU( s�"T/ MATERIALS/DEVELOPMENT <br /> Contamination Noted - <br /> Storage Location _ Casing type d Y��!✓ �E� T <br /> Blank ft. Screen 2,47 <br /> ft. <br /> Slot size <br /> GROUTING Bags cement <br /> Buckets bentonite B <br /> Depth to water ���� Bags sand/gravel- CSC <br /> Mix Ratios "k-�5tl rte' w1 Filter Pack type/sizes "I- <br /> Installation Method Surge Block: - (y/ n ) <br /> Quantity Installed Discussed with geologist: - ( y/ n ) <br /> Type of method <br /> EH 29 29 <br />