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0 <br /> MONITORING WELL INSTALLATION REPORT <br /> n <br /> Date: 3,3-12 CONSTRUCTION <br /> Premise Address: ORNP1�E Total Depth .3 2 <br /> Screen Length (from) 3 0 (to) <br /> Well No.: d'� �' Filter Pack (from) 2 7 (to) 3 2�_ <br /> Bentonite (from) _(to) 27 <br /> Inspector: Grout (from) $6 (to) <br /> Drilling <br /> z5 <br /> Drilling rig type g-T4ky <br /> Permit No. S oznc �50CP Auger O.D. A ' I.D. <br /> Completion- Stove pipe/christie box (circle one) <br /> Drilling Company: 41. wC tiL AR APVaP 14A-1' <br /> Driller: A416U" S61 A Srse SC—/.g e- IWO casing <br /> IFLThe ig <br /> ht <br /> Consultant 9+ri' ��& /A.e -� <br /> Geologist OgN 1E9 V141.+Lll[cw4 - T <br /> O-� ABOVE-GROUND CWaISTY-80X <br /> CO&FLETION <br /> SPECIAL PERMIT INFO. I Ground S�alace <br /> Distance to sewer line / S �pP��-- grout <br /> + <br /> Domestic well on site - (y 1W � 4 PPM V Z <br /> n. <br /> If yes, location and distance - Z n <br /> U n <br /> - N <br /> O <br /> C <br /> SAMPLING 7 .0 slotted _ 4 <br /> /l/k �� _ p socdon <br /> Holding Temperature 25 y Ppr _ 7AV'4 pack <br /> Method <br /> Screening Method 3& 2y,G PpM✓ <br /> Tracking Sheet - (y/n) <br /> 2 n. <br /> SPOILS <br /> Storage Method J,1A)4D Ro1P MATERIALS/DEVELOPMENT <br /> Contamination Noted - n ) PVC <br /> Storage Location 3 C Kerr PAQR'�GLod Casing type / <br /> Blank 3O wftp.� Screen <br /> Slot size moo.,IPK� PeRE <br /> GROUTING Bags cement 5 <br /> Buckets bentonite - � <br /> Depth to water 1 -7 Bags sand/gravel 3- I 0�ra< <br /> Mix Ratios Mgrs 0 q 035 0 urn Filter Pack type/size__j <br /> Installation Method ra.v %A �W •l frk&mlF Surge Block: - (y 10 <br /> Quantity Installed Discussed with geologist: - (y/(52 <br /> Type of method <br /> EH 29 29 <br />