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T <br /> NITORING WELL INSTALLATION 1. . 0� <br /> d <br /> Date: CONSTRUCTION <br /> Premise Address: X6433 11c OJ Total Depth 1 7D' <br /> Screen Length (from)'—1 70Cto) 1$0' <br /> Well No.: MW -3 <br /> Filter Pack (from) 1.70' (to) 1495' <br /> Bentonite' (from) 1`i_ (to) 1-1%4. <br /> Inspector: JyN "l Grout (from) 1`•14.5' (to) m ' <br /> Drilling rig type �� <br /> Permit No. SK- 6517Auger O.D. W' I.D. <br /> Completio - tove pr christie box (circle one) <br /> Drilling Company: <br /> Drillez: 2G2 casing <br /> height <br /> consultant <br /> Geologist TjEt! %'- 1=6 k kv' ABCVE.6ROt1ND l <br /> OOWLEfION CMFLE <br /> GOMPLEf70N <br /> SPECIAL PERMIT INFO. SLexg -- <br /> Ormd 1 <br /> Distance to sewer line <br /> 14�(• H. <br /> If yes, location and distance- y I ft• <br /> • �It• _ i <br /> C <br /> O <br /> SATvIPLINGon <br /> . ?. <br /> Holding Temperature Pa�k <br /> Method ' - <br /> Screening Method • <br /> Tracking Sheet - C y/n) <br /> ti• <br /> SPOILS <br /> 4 <br /> Storage Method MATERIALS/DEVELOPMENT <br /> Contamination Noted - (y/n) <br /> Casing typ <br /> Storage Location e <br /> Blenk7 Screen--2p'.—ft- <br /> Slot <br /> creen2o' ft.Slot size o.oi o <br /> GROUTING Bags cement H C9 s <br /> Buckets bentonite /.!5: &A S <br /> Depth to water Bags sand/gravel SZ <br /> Mix Ratios <br /> Filter Pack type/size !+Z//e <br /> Installation Method <br /> Quantty Installed Discussed with geologist: <br /> Type of method <br /> EH 29 29 <br />