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OONITORING WELL INSTALLATION REPO'':' <br /> Air S�a�yiMvl �ASW11, � <br /> Date: 4" Z'�'Ca0�f �y ►A� (b CONSTRUCTION AsI3 <br /> Premise Ad���/J b FOCC j Sff� Total Depth <br /> Screen Length (from) (to) <br /> Well No.: i� J �J / S l 4 Filter Pack (from) (to) <br /> �m,w-*Z sav Z scm -bZ Bentonite (from) (to) <br /> Inspector: AS- Grout (from) 5- r (to) <br /> v / Drilling rig type L,A�' <br /> Permit No. -5 -DO �3 Auger O.D. S It I.D. - -S <br /> Drilling % Completion - Stove pipe/christie box (circle one) <br /> Com/pany: W <br /> Driller: (XPi o ` � �f Ca �/' casing <br /> ! height <br /> Consultant �/U C <br /> Geologist (sr L '&' ' ) <br /> � ;_ 7 <br /> ABOVE-GROUND CNRI5TY-BOX <br /> COMPLETION COMPLETION <br /> SPECIAL PERMIT INFO. III \) Ground Sur1'a' <br /> Distance to sewer line �11 �/l/1Q''✓'-'r Cly/ gr <br /> outRR <br /> Domestic well on site - C y tt• <br /> If yes, location and distance n- <br /> n. <br /> = m <br /> — o <br /> SAMPLING slatted = a <br /> 'p uc5on �- -� � <br /> Holding Temperature C / gravel pack <br /> Method 3_(�Ca 5 <br /> Screening Method Pip ?"D -la ISDO <br /> Tracking Sheet - (y/ n ) <br /> SPOILS <br /> Storage Method Noted I/ �� � Q1/b RIALS/DEVELOPMENT <br /> Contamination - y n ) r /,� <br /> Storage Location IZ i n -Peci L; Casing type L - <br /> ��; Blank ft. Screen 2 ft. <br /> Slot size G2C� <br /> GROUTING Bags cement <br /> I / ''``--,^ Buckets bentonite M0.F2d l P rt/rb r"tiR rl,;. <br /> Depth to water 32 17.5 ` 5� C�YBags sand/gravel <br /> Mix Ratios - U111 —qq Cb �� Filter Pack type/size ZI <br /> Installation Method (-e-m .Z Surge Block: - (y/0 <br /> Quantity Installed Discussed with geologist: - U/n) <br /> Type of method <br /> EH 29 29 <br />