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JNITORING WELL INSTALLATION REPC <br /> Date: CONSTRUCTION <br /> Premise Address: z2 Total Depth �5 <br /> � /� � <br /> // Screen Length (from) 7� (to) � <br /> /J <br /> Well No.: ' 60 21 T Filter Pack (from) ? (to)� <br /> Bentonite (from) 5'-LY (to) 3-a <br /> Inspector: Grout (from) 5a (to) --�— <br /> `� I Drilling rig type HP t"—SAO,,, <br /> Permit No. �v[ 2��� Auger O.D. 91I.D. <br /> /^n �� Completion - Stove pipe/ insne box (c' ee one) <br /> Drilling Companyli�V l <br /> Driller• casing <br /> 1 F71 height <br /> Consultant IV <br /> 7PTA <br /> //, W <br /> Geologist <br /> A.BCVE-GACUND CHRZTY-BOX <br /> COMPLETCN CCMPLEMN <br /> SPECIAL PERMIT INFO. G=rd Stafacs <br /> Distance to sewer line grout <br /> Domestic well on site - (y/ n ) <br /> If yes, location and distance - � ft. <br /> ft. <br /> �s <br /> — a <br /> Y'• �� q <br /> SAMPLING 51ored <br /> a — <br /> sQcicn —_ <br /> Holding Temperature <br /> Method = Ravi r <br /> ack <br /> Screening Method .cc <br /> Tracking Sheet - (y/ n ) <br /> �ft. � = ft. <br /> SPOILS <br /> Storage Method MATERIALS/DEVELOPMENT <br /> Contamination Noted - <br /> Storage Location /Tv 1 Casing type <br /> Blank -VW ft. Screen ?g ft. <br /> Slot size Us.-� <br /> GROUTING Bags cement <br /> Buckets bentonite <br /> Depth to water Bags sand/gravel <br /> Mix Ratios Filter Pack type/size <br /> Installation Method Surge Block: - (y <br /> Quantity Installed Discussed with geologist: - (y/ n ) <br /> Type of method ZI&On4)a <br /> EH 29 29 <br />