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. . ` ~-1GE OF <br /> q! - I <br /> MONITORING WELL INSTALLATION REPORT <br /> I <br /> J1 <br /> Date: �! __ CONSTRUCTION <br /> Premise Address: / dS 'l Well No. W 2 <br /> Inspec Total Depth y <br />! / Screen Length Z �� <br /> Filter Pack ZI - <br /> Bentonite Pellets <br />. Permit No. < 4 Grout - <br /> Consultant Completion Lovepi a/(Oristie box <br /> Geologist 6,Lar r/a��s�l�./7 Y (_ c✓ 3 l _ r✓ / ¢' 2- <br /> T <br /> Auger`O.D. <br /> Auger I.D. G <br /> SAMPLING <br /> Holding Temperat e ,G � sttdc-up ry <br /> Method i <br /> Screening Method_ <br /> ABOVE-GROUND' <br /> Tracking Sheet (y. COMPLETION COMPLETION <br /> k Ground Surlace <br /> SPOILS <br /> proal <br /> Storage Method /! T' g ft. rs <br /> Contamination Note - yes n <br /> Storage Location tt' <br /> SPECIAL PERMIT INFO. <br /> �yslottad <br /> Distance to sewer line tycoon <br /> t` <br /> Domestic well on site - yes/co) <br /> If yes, location & distance - gra pack <br /> "2= ft. <br /> GROUTING ` <br /> MATERIALS USED: <br /> Depth to water ! Casing t 'pe <br /> Mix Ratios Blank ft. Screen^ft. ' <br /> Installation Method Slot size r Q 2-- <br /> Quantity Installed 7Bags cement <br /> Buckets bentonite <br /> ' - Bags sand/gravel 3 a <br /> S - i <br /> Filter Pack type/size <br /> Total Billed Time Per Site <br /> Sir I <br /> Date Permit Finalized <br />