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0NIT01UNG WELL.INSTALLATION REP.OIZT - Y <br /> LV <br /> TG1 i 5 u/P.C� �rJQ s 00- /j - m) -01a <br /> _ ) . <br /> stg//c�C 4s /}1Gd-g2 <br /> ' Date: ,2 02 O. fMe2�r20)& CONSTRUCTION. -w.- .. <br /> Cou l rl�ht-' 1of- Haar I11 <br /> „. Premise Address: S3S S �. nw 1�i6¢ a, Total Depth - U- - <br /> f Screen Length (from) f (to) 1,2 '- <br /> Well No.: d G Filter Pack (fro ( Z T ' (to) ) 2-/ , <br /> Ir Bentonite (fr ) (to) 101 <br /> Inspector: t: Grout_ ( on) - (to)fuffArs—_ <br />' .,.Drilling rig typ rn ud rA t'*sf <br /> Permit No. SR * 8 Augc�O.D. I.D. <br /> Completion Stove pipe _ risde boa circle one) <br /> 3 ! Drilling Company: r6 �1 111-6-4 <br /> „ Driller: casing- - .. <br /> Chris 6-- , 61ierre, �" �qqus� Sq QS height <br /> Consultant t-n V i Y0 fy,e ajo 7'i sit fi ♦♦♦ <br /> Geologist Dayid VE-GRO -. <br /> Nica/aJ /Cine i WLETIUND <br /> . SPECIAL PERMIT INFO. v Ground Sartre <br /> 1 5 <br /> Distance to sewer l .. ... mart. �I <br /> ine <br /> Domestic well on site - <br /> y n ) w 1 .fig ft <br /> I <br /> I If yes, location and distance - _ <br /> t } /;2 5-ft. <br /> r — <br /> D <br /> ?���. <br /> SAMPLING 30 i 7,810 aloft" _ B <br /> 1 Holding Temperature = v&W pack <br /> s Method — <br /> 6' Screening Method r _ <br /> Tracking Sheet - y n ) <br /> 1 4 _42Lft j M1 -. ' tt. <br /> SPOILS <br /> Storage Method t d l RIALS/DEVELOPMENT <br /> Contamination Noted - (y/ nr'�itS <br /> Storage Location Gd/Pi b/7J//a Cas g type <br /> / BI 4 ft. Screen <br /> Slot s e 0 0 ]n <br /> GROUTING Bags c ent 3A <br /> ^ p Buckets entonite '�/F d+ <br /> Depth to water I oG0 Bags san gravel 8 3D Ibf 42.1 L✓Jtr_ <br /> i Mix Ratios ry �S a_4/1 rg/te m �6 r1 5�7 1, /igSD Filter Pa type/size 3 <br /> Installation Methods j YLr a i6AX*A+}e Surge Blo y� n ) <br /> Quantity Installed 5 jp t x Discussed tin geologist: - �,n) I_ <br /> T e of meth 5 U�YC 2 E rY <br /> bggr.Cliaz C .ih,Layp _ <br /> EH 29 29 0 { <br />