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PAC OF <br /> MONITORING WELL INSTALLATION REPORT <br /> IZ -12 <br /> Date: 12-- CONSTRUCTION <br /> Premise Address: 2 7 Well No. �-1 L <br /> Inspector: �d4/CuA-7 Total Depth ([r <br /> Screen Length l <br /> Filter Pack <br /> Bentonite Pellets L{f - u{ <br /> Permit No. I`C lr Grow . S - <br /> Consultant ( Completion-Stove pia christie box <br /> GeologistI(L a(4�iyc v� <br /> Auger O.D. Q • Z s <br /> Auger I.D. <br /> SAMPLING <br /> Holding Temperature <br /> �sticic up <br /> Method 7- Fr77 <br /> -f rj <br /> Screen-; nc MethO <br /> AWVE-GRC(JND C}{AISTY 30X <br /> TrackinIShe (y/n) cckvL.ET;aNCCMPL=TION <br /> Ground Surf acS? <br /> grout <br /> Storage Method <br /> Contamination :Noted - yes/no ft. <br /> Storage Locat' on <br /> a <br /> = m <br /> SPECIAL PERMIT ZNFO. o <br /> 0 <br /> slotted <br /> Distance to ewer lire spcdon = <br /> Domestic w _1 cn site - yes/no = � <br /> I� ves, 1 cation & distance <br /> i <br /> ft. <br /> GROUTING <br /> MATERIALS USED: <br /> Death to water �0 Casing type 2 V L <br /> Mix Ratios_ 1 6146 3lank3ND _ tet. screen—L15--ft. <br /> I.^.stallation Method ''ORu 4ac."6 Slot size 0. 02-0 r� <br /> lzuant_t•✓ =nstalled Sacs cement 8 a qq�3� <br /> Buckets .bentonite l.S <br /> Sags sand/gravel - Lt S <br /> Filter Pack type/size -0 2. Z <br /> Dtal 3illed Time Per Site <br /> its- ermtit Finalized <br />