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MOORING WFJ_L INSTALLATION REPORT <br /> Date: CONSTRUCTION <br /> /[�C <br /> Premise Address: �'h' Total Depth JP-� <br /> Screen Length (from) <br /> Well No.: Filter Pack (from) S (to) 3 Z <br /> Bentonite (from) . (to)� <br /> Inspector. /1 Grout (from) •�? 6 -(to)� <br /> Drilling rig type <br /> Permit No. Auger O.D. I.D. <br /> Completion - Stove pipe/christie box (circle one) <br /> Consultant_ '/,1`-���4` <br /> r <br /> Geologist— ---- -- i _-- std*-u¢ <br /> 117T 7F <br /> SPECIAL PERMIT INFO. <br /> AiONE-GROUND CHRIS7Y43OX <br /> Distance to sewer line CflMPLETfON COMp�T] <br /> Domestic well on site - (y/ Grvur $'� • <br /> If yes, Iocation and distance - <br /> Q <br /> tt. <br /> SAMPLING = A <br /> >. r <br /> Holding Temperature O G shad <br /> Method *+elan <br /> Screening Method .,.0 ;� _ v pads <br /> Tracking Sheet - /n) <br /> ft. <br /> SPOILS <br /> Storage Method MATERIALS/DEVELOPMENT <br /> Contamination Notes - ( / n- <br /> Storage <br /> G <br /> Storage Location Casing type <br /> Blank fr- <br /> d�O r <br /> Screen -2.0 <br /> Slot size J <br /> Bags cement <br /> GROUTING Buckets bentonite <br /> } !/ Bags sand/gravel �73 / 1 <br /> Depth to water Filter Pack typesize <br /> Mix Ratios _ Surge Block: - ( y G- ) __�l <br /> Installation <br /> .- <br /> Installation Method Discussed with geologist: - `Y ) <br /> Quantity Installed Type of method <br />