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WNITORING WELL INSTALLATION REPO <br /> Date: &Qr-g� 2a)Z CONSTRUCITON 5✓' `f,. Znsfe>� <br /> +Yl3t4.lT ozos�c... <br /> Premise Address: 1 (, b 1 j t/f r7 10+XL 9d. Total Depth 3 p fo w`// °-/3 <br /> Screen Length (from) 3o iy14 Z-o) i Ju <br /> Well No.: SY-4 Q•/ 3 Filter Pack (from) 3u MA (to) 5 <br /> / � Bentonite (from) .2S AmW (to) 2-r_, S <br /> Inspector: YidkL Grout <br /> Drilling rig type L-,m�+F d A�a1f �(;Q orpE rj�- <br /> Permit No.__ oS� � /�D L95a G Auger O.D. >I ; - LD. <br /> Completion - Stove pip c 'stie bo (circle one) <br /> Drilling Company: �)/ W )l Aba44i3O 17el-Pr <br /> f}V ,r tUpre <br /> VT-1- <br /> Driller: <br /> Driller_ b )L o-J casing <br /> SSiSf.�e( g S f7Cn hei ht <br /> Consultant ✓ a V <br /> Geologist6k c4 514 -19 +w ll,Yldnr/eV� _ <br /> $ob mqr 1� a. 4 -B;11 L_ tle Q/✓n Sj� ABOVE-GROUND <br /> J2-11COMPLETION COMPLETION <br /> SPECIAL PERMIT INFO. /yn&>�l/4y�4Je �bovT �S� 7 — <br /> Distance to sewer line C414N"'t` grout <br /> Domestic well on site - (y/� 3Y4 1-8113 <br /> If yes, location and distance - m-'n +1Uva-f Z <br /> Od-Ita,, R' <br /> so;l sam/o/< <br /> f),D /W."� 4 <br /> s / <br /> SAMPLING .?,3�Arrdotted _ 8 <br /> tac9on <br /> Holding Temperature � <br /> vW pack <br /> Method iev Zvi 4h tr�n�l� lS 0p®n' _ �' <br /> Screening Method '?0 + �•8� <br /> Tracking Sheet - y n ) 35t 4. i' <br /> Set ".24B�P"`3d tt. E-1 <br /> -_ <br /> SPOILSe G/n , lQo a f h tt. <br /> LJ <br /> �e°�12�' G'�ins�-✓y -{'o <br /> Storage Method a la d 5dd bins r/f S�i.1 MATERIALS/DEVELOPMENT <br /> Contamination Noted - <br /> Storage Location i n Fkk frr v!l 06rkjj� x Re b �rur Casing type /l rl�-4 d /+ <br /> _Fy lank 28 ft. Screen <br /> �&lot size NF}� <br /> GROUTING y Bags cement �� 9 fl6 <br /> Buckets bentonite Co Fablr{J t5#�u <br /> Depth to water 7 a b 3G Bags sand/gravel- l.r/./,C — <br /> Mix Ratios—4-5 blas Ed-Fall' t q£r-/b b�*V t Filter Pack type/size -a /4 _ <br /> Installation Method 'Tr 30 Surge Block: - (y n <br /> Quantity Installed / faak" Nz" Discussed with geologist - ( y <br /> Type of method <br /> EH 29 29 <br />