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OMTORING WELL INSTALLATION REPOT• <br /> Date: Sf 13, CONSTRUCTION <br /> Premise Address: ) L 0 I -TU r_n Oi �!a Total Depth o.5 �e- <br /> h 30( }D LC ,noyd•/ Screen Length (from) �� (to) .S S <br /> Well No.: M W - � u�_s_��—` f ce 4v +" Filter Pack (from)�� (to) �3 <br /> ,�nA ras>t 6ua+rs+ O r' Bentonite (from) —(to) 5 <br /> Inspector. �f t c1C -te40u"'"Grout (from) .5- (to) J/ <br /> Drilling rig type <br /> Permit No. PJOS/ S C&6 Auger O.D. F- I.D. 4,.2Y <br /> Completion - Stove pip Christie bo (circle one) <br /> Drilling Company <br /> Driller. S.tOYi casing <br /> �S.Sjs}R-ryfS - r-a0s �gnlas 'Iiaba�Ralmrrez�� height <br /> Consultant Adyauj rarn n. <br /> Geologist t4— A/'£ Agpyg-GRCUND <br /> Gap, r\ Me, Cc eat - �G 6 COMPLETION cFwlsrraox <br /> SPECIAL PERMIT INFO. Ground Surface <br /> proof <br /> Distance to sewer line UYI k n a L,) - <br /> Domestic well on site - (YAD ntD" S(_,It. <br /> If yes, location and distance - _ 53 M It. <br /> A �� R. <br /> � a <br /> SAMPLING slotted = C <br /> soricn __ <br /> Holding Temperature 4' - RC2 `iri Cove,— , = gravalFarlt <br /> Method I G L i n a +e� _ <br /> Screening Method P ) — <br /> x <br /> Tracking Sheet - fy n) � ,pp n . _ •. <br /> �.rF.�.ft. <br /> � sans <br /> SPOILS 401, 4EI sv-, Esl �a;csr <br /> Storage Method ��- �ilJ��r-,, Gf ref MATERIALS/DEVELOPMENT <br /> Contamination Noted - /n <br /> Storage Location Casing type <br /> Blank S ft. Screen 1 D ft. <br /> Slot size <br /> Bags cement <br /> nt <br /> C�t P 518- Buckets bentonite I v <br /> Depth to water / 65- Bags sand/gravel <br /> Mix Ratios �/ �Sgo�l,,rt Hz o Filter Pack typo/ 'ze 44 <br /> - <br /> Mix <br /> Method it ��C Surge Block: - kV n ) <br /> Quantity installed - ✓ �?7)0.fvtt Discussed with geologist: - (�j/ n) <br /> /v r GJ4ej Type of method <br /> Gt 1'rr✓rni� <br /> EH 29 29 471 <br /> -Th e- .4riIQyL, <br /> 4� 1S�i��dr' )I r, 4 �2.dmma-f t4-re 4 SS�9/ln. �r���Ori` oJer �2s� e <br />