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(..; moNIToRING WELL INSTAI.i.ATION RE4v. ' Z <br /> P, ) <br /> Date: a l 2.3 100 CONSTRUCTION <br /> Premise Address: SkaA,p QC2�Olt- Total Depth 1(2 <br /> Screen Length (from) I Ir (to) 2A <br /> Well No.: Filter Pack (from)... f D (to) 2G <br /> Bentonite (from)_ :.. t (to) 101 � <br /> Inspector. _._. T", A&Se%ltt L , Grout (from) -0- (to) T' <br /> Drilling rig type <br /> Permit No. 5 Q, o G? a 1 req:<,<' Auger O.D. I.D. <br /> Completion -Stove pipelchristie box (circle one) <br /> Drilling Company: b�f'r. � � L� ' <br /> I.L-f, <br /> casing <br /> height <br /> Consultant <br /> Geologist_ W4�,. V4�d164 SON <br /> A OVE-GRMNO GHfiWY-Sox <br /> CAh9't,...�"TkDN GL'7MP't..°TZCM <br /> SPECIAL PERMIT INFO. Ground Sexy; <br /> Distance to sewer lin�nyce <br /> grout <br /> Domestic well on si st ) Vh <br /> {t. <br /> If yes, Iocation distaa <br /> SAMPLING .2 <br /> W, i 2- :lot:ai <br /> Holding Temperature <br /> 5 :�Cn <br /> Method GyY+�P- <br /> S/ninhhod r <br /> t y t n ) <br /> �• raZ <br /> S <br /> SdMATERJL§,[2EVELOPMENT <br /> CNoted - (y/nSon Casing type Q\/ _ <br /> Blank fL Screen <br /> Slot size O'Z.V - <br /> GR011 PING rXAAA Bags cement <br /> �tJ� Buckets bentonite -,1,�c� <br /> Depth water Bags sand/gravel <br /> Mix Rattios_ Finer Pack rypejsize -E��� <br /> Installation Meth Surge Block: - (y l .. <br /> Quantity Inst d Discussed with geolo ist: - (y j ) <br /> EH 29 29 <br /> Type of method <br />