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Pl_ OF <br /> = <br /> MONITORING WELL INSTALLATION REPORT <br /> Date: c� un e )L ZOO d CONSTRUCTION qS <br /> Premise Address: 34-DO /\Ju,)1-o-rn Rd. Well No. -6 <br /> Inspector:_ y Gki /n e-eO r+n641 Total Depth D <br /> Screen Length 70� <br /> Filter Pack 701 - S3 <br /> Bentonite Pellets _-C3' <br /> Per-nit No. 005-4406 Grout Sl' aka .fLir, <br /> Consultant Advaneed �'reo�ti�I;�� n rnory�c� �1tcComPletion-Stove pipe/christie box <br /> Geologist Lau rPzz C4 i ja 1 l; (A66) <br /> Auger O.D. <br /> Auger 1.D. <br /> SAMPLING i� !4/ 7d ` ,211 Zey,,�c, Pl-D <br /> Folding Temperature 40IF, * _f <br /> Method non 1e-,r "Ce— <br /> ScreeningMethod_ <br /> ABOVE-GROUND RiSTY-BOX <br /> Tracking Sheet (D,-,) ��'!�;�N PL'"TIO <br /> Ground Su!ace <br /> SPOILS <br /> grout <br /> Storage Method 4all&,i vnL.5 n. <br /> Contamination Noted - ves/( o <br /> .3"3 n. <br /> Storace Location an f C_ <br /> _ a <br /> SPECIAL PERMIT INFO. = c, <br /> o <br /> rA <br /> slotted <br /> Distance to sewer line )lpt kil <br /> Dcmestic well on site - <br /> Gy vayel pack <br /> no <br /> If ves, location & distance <br /> zo to <br /> GROUTING nD ed IJ er �'e be y f S'/a j le <br /> ,4xr Stc� t2 V1gfJ/L Ce MATERIALS USED: I / <br /> Depth to water �S GU v �eJ a Casing type 1 yt C� S�G� D <br /> -' - s6 95I/L 6 t t� <br /> Mix Ratios C�Ai�ivt'7L0 Blank Screen_�_��. <br /> Installation Method 3jQ V f Slot size <br /> =ua ntity Installed L y7- FT <br /> 3ags cement <br /> Buckets .bentonite <br /> Bags sand/gravel � Z <br /> Filter Pack type/size ��f Uhf <br /> 'otal Billed Time Per Site <br /> late Per;r:it. Finalised & : _n--6� -- <br />