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• <br /> MONITORING WELL INSTALLATION REPORT <br /> Date: - `2t(.-29 ia- CONSTRUCTION <br /> Premise Address: 3ot5 h1 xv brave)$ cbc Total Depth 50 4 <br /> Screen Length (from) 40 (to) 50 <br /> Well No.: `ro/r?- - i C Filter Pack (from) R1 (to) 50 <br /> Bentonite (from) 35 (to) 33 <br /> Inspector: To_A Grout (from) 1 (to) 35 <br /> Drilling rig type CM Iv 99 <br /> Permit No. Qro 5 2.0 1 Auger O.D.- -2 " I.D. 4 " <br /> Completion Stove pi cluistie box (circle one) <br /> Drilling Company:. ��Sca9.o �vi1{;v...� 4'l', <br /> Driller: -1-01"/' 5ZkZy.-6a✓ casing <br /> '' ee 3 �� Lf— height <br /> Consultant 9r y', ta,.r '4j =ec�rw�w GvwlPy w 32" <br /> Geologist , V-' -- T <br /> ABOVE-GROUND CNAITIY-0OX <br /> COMi'MFLET;LETION COMPLETION <br /> SPECIAL PERMIT INFO. G=nd su l cv 7— <br /> Distance to sewer line groin <br /> Domestic well on site - (y/no <br /> If yes, location and distance - tt' <br /> P <br /> SAMPLING tlottad = S <br /> saadon - <br /> Holding Temperaturegmvw Pack <br /> n� e <br /> Method Gral,- i st' wtl zri4✓ <br /> Screening Method D - <br /> Tracking Sheet -C/n) =_ <br /> SPOILS <br /> Storage Method .- <br /> -sc roil-o LMATERIALS/DEVELOPMENT <br /> Contamination Noted - n) <br /> Storage Location Yw ^) %4 A aR MA , Casing type S csln RA-(l Bo Pstc <br /> Blank ..... . o ft. Screen to ft. <br /> Slot size o.6sb-t% L <br /> GROUTING Bags cement 15 fmt <br /> /��-� Buckets bentonite 1 5b <br /> Depth to water 4 JC Bags sand/gravel S `go k 6 <br /> Mix Ratios S �w Filter Pack type/size N ovAgwv *7- tz- <br /> Installation Method 4&Atv e-er i .:o Surge Block: - 0/ n ) I <br /> Quantity Installed c xyks Discussed with geologist: - ®/ n) <br /> Type of method S vrnn 0 gip, LwU { <br /> EH 29 29 <br />