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MONITORING WELL INSTALLATION REPORT <br /> Date: 3 CONSTRUCTION <br /> Premise Address: �Crcy_ Well No. A-__ <br /> Inspector• Total Depth sc7 r <br /> Screen Length <br /> Filter Pack <br /> Bentonite Pellets 2 <br /> Permit No. Grout 3% 7— <br /> Consultant Completion-Stove pipehriatie� <br /> Geologist <br /> Auger O.B. /O <br /> Z_ Iry <br /> Auger I.D. (ell e <br /> SAMPLING <br /> Holding Temperature Y C. $**-up <br /> Method <br /> Screening Method />/Mu iv_ <br /> ABOVE-GROUND CHRISTY-BOX <br /> Tracking Sheet y n) COMPLETION COMPLETION <br /> SPOILS Ground Surface <br /> ^+ <br /> 9rart <br /> storage Method S ac <br /> Contamination Noted - yes riot• <br /> Storage Location�,cL,s;V'k ft• <br /> SPECIAL PERMIT INFO. - <br /> - o <br /> Waited — <br /> Distance to Bawer line anon = <br /> Domestic well on site - yes _ gravel park <br /> If yes, location & distance - <br /> GROUTING <br /> MATERIALS USED- <br /> Depth to water Casing type <br /> Mix Ratios Blank -i9 <br /> Z ft. screen 3v ft. <br /> Installation Method Slot size 0, 07 t� <br /> Quantity Installed Bags cement <br /> Buckets bentonite S L <br /> Bags sand/gravel�Z__ <br /> Filter Pack type/size `s <br />