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,, <br /> S.wiNITORING WELL INSTALLATION REPObti, <br /> d�a4 <Svr�n� �,ba Vf`Sa <br /> Date: q 17 CONSTRUCTION <br /> Premise Address: a 9 (lq L o o r)-k 7 sF�l�. Total Depth *7 3 4exJ- (73 7Z -SAC <br /> KY�1 dies, e-n-I�errgt# (from) 72 (to) ZCL_ <br /> Well No.: AS- 1 S oa►7itri G+�'e] Filter Pack (from) 170 (to) (/1 8 <br /> Bentonite (from) G 8 (to)- <br /> InspectorCi M. Vl'& e La r`�z rdl Grout (from) G S (to) '- F e <br /> Drilling rig type ) <br /> Permit No. 005-0962- Auger O.D. <br /> Completion - Stove pipe/ iristie bo (circle one) <br /> Drilling Company- V `� W 22r ,J I L4 <br /> Driller: 1-CA r, m i Y'e z d� cas i.ng <br /> ,5S i S-{-6,1,VS - D,4V i aho( e4r 10 5 L/ �c <br /> Aheight <br /> Consultant 6,eo long i c 4. t�'� .T rt e , <br /> Geologist 17e. -aQut 1 . ABOVE-GACUND <br /> COMPLETION CHFiiSTY-80 <br /> N <br /> SPECIAL PERMIT INFO. Ground Su lwo <br /> Distance to sewer line I n a Lx U D Sa u Of0"t <br /> Domestic well on site - (y n GS ft. <br /> If yes, location and distance - ft- <br /> '70 .ft. <br /> No iP t D r L4oe',1- 410-iy­ <br /> SAMPLING - KV,A efv6dy _ <br /> Holding Temperature �/ i user k = Y� <br /> Method Al � Pack <br /> Screening Method .2?,57 L �£' <br /> Tracking Sheet - (y/ n) , <br /> 6C41ve� � Gavrs��t �� satY► 3 2- <br /> SPOILS 49- 5-_S/.S• <br /> Storage Method r'V»-+.c3 4A S0' MATERIALS/DEVELOPMENT <br /> Contamination Noted - y n e_ <br /> Storage Location n n.r.,f L Gc�Ct s a- Casing type <br /> di e-S-d Blank 70 ft. <br /> Slet-eiee KVA D;,)sem,- -c ink, 4 f Mme e� <br /> GROUTING Bags cement rl b r 1 _ ¢�' <br /> Buckets bentonite 1.5 <br /> Depth to water /V 2k-d- 8 al Bags sand/gravel �- <br /> Mix Ratios x C91y19w,#10 Filter Pack type/size - <br /> Installation Method Surge Block: - ( y/n� <br /> Quantity Installed - �/(J` _4-Discussed with geologist: - (9/n ) <br /> Type of method ad artL44 '3'1 o <br /> EH 29 29 <br /> Gro u + M a 4/6 'in 6,Y, a,-, +ry,,,� 4N ru Q s <br /> I)S�d Ru i k rJe- Po r4'14 nd( -r, Z 6aWZ6i k' <br />