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MONITORING WELL INSTALLATION REPORT <br /> Date:_ 3 2•D 0 CONSTRUCTION <br /> Premise Address:_ -4040 E . Mai Ss rCeil Total Depth O � <br /> Screen Length (from) 0' (to) 0 <br /> (to) <br /> Well No.: M W - Z Filter Pack (from)_ Rp I — <br /> Inspectorr emsBentonite (from) (to)— <br /> Grout (from)-- G <br /> � <br /> (to)_ .Ty. <br /> Drilling rig type E - 1 S <br /> Permit No. -20 7&Q Auger O.D.- Q ;n j2gj I.D. <br /> Completion - Stove pipe/ tie ox circle one) <br /> Drilling Company: e �r� I�; <br /> Driller: louj r OVe casin <br /> A•ssisf4rr �s Log Gvtzrngn 4� /�Arsn D4vis � � he=ght <br /> f] <br /> Consultant�d vin IS?eo �»v�'✓o`r�rne. �� '� V ' <br /> Geologist p I►I . .,q and I <br /> vc-G R CUy D <br /> CYO W LET O N <br /> SPECIAL PERMT INFO. , <br /> - CN <br /> Distance to sewer line_ No+ Xnot,.. 9r«; <br /> Domestic well on site - (y//ti ) <br /> If yes, location and distance - <br /> SAMPLING — <br /> i?^Cfl <br /> Holding Temperature g eC <br /> — <br /> Method ear iv'41,, j c e_ <br /> Screening MethodD <br /> _PIwa.f n a f u z r." '2 lam, <br /> Tracking Sheet - (�/ n ) A, =" <br /> Jo Osoiol �-Lt�� <br /> RNI= tt. <br /> SPOILS Anj S a i l sa•x�lc , <br /> Storage Method o; D lane Vires v��, MATERIALS/D .VELOPMENT <br /> Contamination Noted - —�— <br /> Storage Location Casing type 40 <br /> Blank U ft. Screen ZG K <br /> Slot size 0 020 i n.&G,ef <br /> GROUTING Bags cement 32 7- 11, b -r <br /> Buckets bentonite SO b E ' <br /> Depth to water Je � 1+2 Jvr�f/iU,a:�62�/a Bags sand/gravel 7 l <br /> Mix Ratios 9- 7- e 94//nts Nz o Fater Pack type/size � 3 <br /> 4,pstallation Method G ro u s Surge Block: - (y/n ) <br /> Quantity Installed -32, bgas Discussed with geologist: - (y/ n ) <br /> _702.- Z G sack ChLert r, M'x Type of rncdiod — <br /> EH 29 29- y6t.. 5"/ho✓f4r m.�k 18 TX x <br /> 4 fdie e4,01 a ,f +��� �af��� vr,`.� p-9 (sal� . �4 / ssy�!/•�� l�Zo� <br /> y btu, VS ry 7 b 4,4 jr <br />