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Pp OF <br /> MONITORING WELL INSTALLATION REPORT <br /> Date: l� ` q r 1 CONSTRUCTION <br /> Premise Address: 23& 5 well No. <br /> Inspector: �. �/'o P94GL"y Total Depth &6 <br /> Screen Length <br /> Filter Pack A'L S-14kl ( y'�`- �•) <br /> ' 3 Bentonite Pellets t���' LI' 3') <br /> Permit No. 5P�G(' �0 Grout 19 W- ti l <br /> Consultant Compietion-Stove pipe/christie box <br /> Geologist -. <br /> Auger O.D. <br /> Auger I.D. <br /> SAMPLING <br /> sticic up <br /> Folding Temperature , <br /> Method V V <br /> Screening Meth T <br /> ABOVE-GROUND CNAISTY 30X <br /> Tracking Sheet (y/n) CC WF L- 'CN COMPLETION <br /> Grcund Surface <br /> SPOILS <br /> Qrout <br /> Storage Method ft <br /> Contamination Noted - yes/no ft <br /> Storage Location rim ft I. <br /> 7 - <br /> — a <br /> — m <br /> SPECIAL PERMIT INFFO. -- <br /> C. <br /> O <br /> ilottBd = c <br /> Distance to sewer line aac�on <br /> Domestic well on site - yes/no <br /> F <br /> ack <br /> If ves, location & distance <br /> _ I , <br /> GROUTING <br /> MATERIALS USED: <br /> De �;, t0 wa�. '3 i Casing type <br /> r_'��.�. y..._ <br /> Mix Ratios_ cS ( 2'' Blank 44<Z' ft. _Screen 1 <br /> Installation Met od -6eyigKt9. '\05e, Slot size 0-CGZI <br /> fluantity Installed A bcLy 0 2 ba hS Bacs cement 13 `1-411 bn�yS <br /> Buckets .bentonite ��y Sbth I a-y <br /> Bags sand/gavel 1 2 50(6 YJityt; <br /> Filter Pack type/size tt 2 jtL <br /> Dtal Billed Time Per Site <br /> 1-e Per—,T.;—f-- Finalised <br />