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htOHTxORING WELL � <br /> � INSTAI.I.ATYON REPORT - y <br /> Date: <br /> Premise Ad r <br /> r e <br /> Inspector: a G CONSTRUCT <br /> f TON <br /> We I l G! <br /> Tot <br /> epth <br /> Permit /� Screen:D <br /> mit No. `l -CJD '' Length <br /> Filte <br /> Consultant ri pack�a <br /> Geologist ✓�� Bentonite Pellets ( <br /> Grout . <br /> Completion-Stove pip Chriie <br /> f� st�„ box <br /> SAM�PLrN Auger O.D. g' <br /> Auger I'!D. d ! <br /> Holding em //a <br /> Method Pe(ature VIE, -- —- 4 <br /> ' •ttdaup } <br /> Screening Method <br /> Tracking Sheet (yin A80V�,GApIjMQ <br /> } r <br /> COMPLETION CHAISTY•BOX <br /> S- OILS i! OrourCOMPLETION <br /> - x!Surfarc� <br /> storage Method 01)i, <br /> Contamination Noted - Y / grout <br /> Storage Location es n <br /> eft. tt. i <br /> SPECIAL PERMIT INFO. — <br /> a <br /> Distance to sewer line C <br /> _ o <br /> Wood ;.: c <br /> Domestic well onsite 'yes/no aactlon <br /> - <br /> & s ar <br /> If yea, location dise - — <br /> 91 Wpac*GRO—�G IIF1t. <br /> MATERIALs�!USED: <br /> Depth to water <br /> Mix Ratios <br /> !�/ �+vw�r � Casing type.), l'lOC/ <br /> Installation Method Black ft. Screen- Z�O _ft. r <br /> Slot size <br /> Quantity Installed 3 <br /> Bags cement <br /> Buckets benton! e l <br /> Bags sand/gravel <br /> Filter Pack type/size <br />