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1"ONITORING WELL INSTALLATION REPOI.,,,4 <br /> Date:J CI CONSTRUCTION <br /> Premise Address: (x,1,-2 a-ow Total Depth �- <br /> e Screen Length (from) C15 (to) q61 <br /> Well No.: JW 1 Filter Pack (from) Y55 (to)—3 <br /> ' I Bentonite (from) (to) 31 <br /> Inspector. I I Grout (fro(n) Z'1 (to) 6 <br /> Drilling rig r7e W S U <br /> Permit No. '03 7 y Auger O.D. L- I.D. f't <br /> VIJ Completion - Stove pipe/cluistie box (circle one) <br /> Drilling Company: <br /> Driller.L�. casing <br /> Consultant E-A T <br /> � <br /> height <br /> - \) <br /> 7� �r'{ T, <br /> Geologist 1 A/0"^ I `nJA/M6n <br /> ABOVEGROUND <br /> CDACFffttSTY80X / <br /> 4�LEfION COMPLE7IcN <br /> SPECIAL PERMIT INFO. Ground Sumac — <br /> Distance to sewer line OrCut <br /> Domestic well on site - (y ) <br /> If yes, location and distance - tt. <br /> V <br /> = e <br /> SAMPLING stoned <br /> aocdcn _ <br /> Holding Temperature <br /> Method kAi� PaCK <br /> Screening Method <br /> Tracking Sheet -07n ) <br /> L 5 ft. = 5 ft <br /> SPOILS <br /> Storage Method MATERIALS/DEVELOPMENT <br /> Contamination Noted • y// nn <br /> Storage Location (3z -t tX Casing type PuC <br /> Blank 0 ft. Screen ft. <br /> Slot size •610 <br /> GROUTING Bags cement <br /> Buckets bentonite X G <br /> Depth to water Bags sand/gravel I- t <br /> Mix Ratios 2. Filter Pack type/size a I <br /> Installation Method i n i .1 I ra Surge Block: - ( y t <br /> Quantity installed '/ Discussed with geo ogist: - e n) <br /> Type of method <br /> EH 29 29 <br />