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MONITORING WELL INSTALLATION REPORT <br /> Date: �J� 'ZGG3 ' ! CONSTRUCTION <br /> Premise Address: �`t J • gf(si l r e'y lJ&51- Total Depth Z-d <br /> Screen Length (from) (to) <L1• o <br /> Well No.: MW - 4 Filter Pack (from) 2 "U (to) ?y. D <br /> Bentonite (from) iz�- Q (to) 37. Z <br /> Inspector: nJ• � Grout (from) Z (to) w&— <br /> Drilling rig type <br /> Permit No. 91 - Ae Auger O.D..'. I.D. <br /> Compled - Stov pip stie box (circle one) <br /> Consultant (,,_JVSQ-1"i <br /> Geologist (are-yl hl /grZaft q � skk-up <br /> SPECIAL PERMIT INFO. / ABOVE-GROUND CHRISTY-BOX <br /> Distance to sewer line <br /> G SU COMPLETION COMPLETION <br /> Domestic well on site - (y/ n ) Gmund S -7� <br /> If yes, location and distance - PER <br /> grout <br /> 1 n. <br /> ft. <br /> n. <br /> _ <br /> SAMPLING __ • <br /> i C <br /> Holding Temperature 50L slotud _ $` <br /> Method &&don = <br /> Screening Method O ; = Gni pack <br /> Tracking Sheet - (y/ n) <br /> It. <br /> SPOILS <br /> Storage Method /)?4mS MATERIALS/DEVELOPMENT <br /> Notes otes - (y/ ri <br /> Storage Location I T7� <br /> aiPCasing type SG 46 /V L <br /> Blank 4 Z_ ft. Screen <br /> Slot size O. 0 P-0 <br /> Bags cement <br /> GROUTING Buckets bentonite <br /> qa Bags sand/gravel <br /> Depth to water `�'►• Filter Pack type/size <br /> Mix Rados Surge Block: - 0 n ) <br /> Installation Method !d/K! Discussed with geologist: - (® n ) <br /> Quantity Installed Type of method 13AI LC�ry <br />