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ONITORING WELL INSTALLATION REPOO <br /> Date: lI- .213 0 L p CONSTRUCTION <br /> /� 0 ( Tu rn�oi 1Ge tCot , Total Depth �e a <br /> Premise Address: Screen Length (from) 5 (to) <br /> Filter Pack (from) /.S (to) 3 3 <br /> Well No.: /Ni y✓' $/t d e�� I`�Pt I Bentonite (from) S3 (to) <br /> Inspector e-64drine, Grout (from) S/ 'E (to) <br /> J <br /> Drilling rig type <br /> Permit No. 0 0 4 8 8 6 7 Auger O.D. I.D. 2 ti <br /> Completion - Stove pip dtristie box ircle one) <br /> Drilling Company: CQ S Cad P �r.11;nJ p <br /> Driller: rS � casing� 7 height <br /> c LaZv 4 -r4) <br /> Consultant A G' F - T <br /> T <br /> Geologist Ally e-e 1 a d r +4, Aloy -GACUNO <br /> CONVLF-7*N CNGrou <br /> R7STY 30X <br /> SPECIAL PERMIT INFO. ® nd Sutaas <br /> grout <br /> Distance to sewer line Uri { AtA,rDn <br /> Domestic well on site . (y AD <br /> If yes, location and distance - 3 ft. <br /> 5 S tt. <br /> — m <br /> SAMPLING slotted = ` <br /> secicn <br /> Holding Temperature <br /> Method ce in Gael - rAl _— <br /> Screening Method P 1 p = <br /> Tracking Sheet y n) <br /> Pl Gp.d y� — t <br /> D 1. <br /> _tt. <br /> 3S fe.cklPxA - no r ce-vvo j but- <br /> SPOILS 446foon'- <br /> n <br /> �f5 4191 $$�-15? MATERIALS/DEVELOPMENT <br /> Storage Method $S a��un v 6G _ s9/ <br /> Contamination Noted - y n) ', <br /> G� (,2 " Casing type 0 <br /> Storage Location rn S ;+,e - / g, <br /> Blank 5S ft. Screen <br /> Slot size Z <br /> Bags cement 1 - `/ -1,L t �l <br /> GROUTING hNa1111 1lelssBuckets bentonite ne- S S 1di r <br /> Depth to water ^' t� 3�o Bags sand/gravel 9 5n-16 L2�•s Lus r� <br /> Mix Ratios /nrS NZ v Filter Pack type/size 3 <br /> installation Method 2r %e a?.e Surge Block: - ( y/ ti <br /> Quantity Installed / Discussed with geologist: - ( y,Cn) <br /> r Type of method <br /> EH 29 29 US4-at aultes 4tr +cklvi,�c �•`� <br />