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MONITORING WELL INSTALLATION REPORT <br /> Date• CONSTRUCTION <br /> Premise Addre sic {c Well No. U-? <br /> Inspector• Total Depth U <br /> Screen Lengthy <br /> Filter Pack <br /> /7 Bentonite Pelletsl <br /> Permit No._.7/--may �' Grout <br /> Consultant Completion-Stove pipe/ hristie x <br /> Geologist <br /> Auger O.D. <br /> Auger I.D./, <br /> SAMPLING _.._ <br /> Holding Temperature L aft-up <br /> Method Ai, 9 <br /> M FFScreening Method 414 19 <br /> ABOVE-GROUND CHRISTY41OX <br /> Tracking Sheet (y/n) COMPLETON COMPLETION <br /> SPOILS 7 <br /> proal <br /> Storage Method 05,. � t n. <br /> PIZ <br /> Contamination Note - ye <br /> Storage Location n. <br /> Zn. <br /> = e <br /> SPECIAL PERMIT INFO. = r <br /> o <br /> �lotud = <br /> Distance to sewer line E&*don <br /> Domestic well on site - yes/no <br /> If yes, location & distance - <br /> gra';W Pack <br /> fin. <br /> GROUTING <br /> MATERIALS USED: <br /> Depth to wager Casing type <br /> Mix Ratios [. Blanker ft. Screen /'9' ft. <br /> Installation Method Z Slot size .D 1 <br /> Quantity Installed Bags cement <br /> Buckets bentonite / <br /> Bags sand/grave <br /> Filter Pack type/size 7 <br />