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MONITORING WELL INSTALLATION REPOftw.0 <br /> Date: S�A�2 CONSTRUCTION <br /> Premise Address: Z-ze� �F _ Total Depth �I <br /> / Screen Length (from) ?-5— (to) <br /> Well No.: �'//L� / d � y 0 6 Filter Pack (from) 9.5-- (to) f <br /> Bentonite (from) P (to) 755 <br /> Inspector: Grout (from , � (to) 5r <br /> Drilling rig type �� <br /> Permit No. Auger O.D. 7 X_ I.D. <br /> Completion - Stove pip(!/c i circle one) <br /> Drilling Company: <br /> Driller: casing <br /> height <br /> Consultant �7— IF <br /> Geologist G <br /> ABOVE-GACUND CNA1S?Y-BCX <br /> COMPLETION COMPLETICN <br /> SPECIAL PERMIT INFO. Ground Surface .-r---.---...•� <br /> Distance to sewer line grout <br /> Domestic well on site - (y/ n ) .7 g ft. <br /> If yes, location and distance - ft. <br /> �ft. <br /> — m <br /> - o <br /> ^� r <br /> SAMPLING = <br /> ilor.s'd <br /> sacicn = <br /> Holding Temperature gravW pack <br /> Method = <br /> Screening Method <br /> Tracking Sheet - (y/ n ) <br /> SPOILS <br /> Storage Method_ ly� 4w 61 e MATERIALS/DEVEI.OPMENT <br /> Contamination Noted - (y n) <br /> Storage Location -5 j" Casing type J�GP� �Z� '(c2ej C� <br /> BlankZ2 ft. Screen e-5- <br /> Slot <br /> 5Slot size_ B� O <br /> GROUTING Bags cement <br /> Buckets bentonite 1 z <br /> Depth to water 'L— J Bags sand/gravel <br /> Mix Ratios Filter Pack type/size Z <br /> Installation MethodSurge Block: - (y/ n ) <br /> Quantity Installed Discussed with geologist: - ( y/ n) <br /> EH 29 29 Type of method " <br />