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TORINGWELL INSTALLATION REPORT+ <br /> z } CONSTRUCTION <br /> Date: MU)4 YYtt,J 5 N m� <br /> Premise Address: 4 ±4 —+l Total Depth 13 CD 3/ 36 <br /> _ Screen Length (from) (to) <br /> Well No.: �j Filter Pack (from) (to) <br /> �;. Bentonite (from) (to).-.1 _. <br /> Inspector. Grout (from)__f-,C_(to) O <br /> Drilling rig type <br /> ' <br /> Permit No. Auger O.D. <br /> ji Completion - Stove pi stie box circle one) <br /> Drilling Company: � X "� <br /> Driller: cas inq <br /> height <br /> Consultant <br /> I' <br /> I!.,. V/_' V <br /> Geologist �YY1AA <br /> ii A$QVE-GRCUND x CiiFi1M430X <br /> COWLETiON COMPLEnCN <br /> '. <br /> SPECIAL PERMIT INFO. end 5urfaos <br /> Distance to sewer line -7 5-0 groat <br /> Domestic well on site - (y <br /> If yes, location and distance - <br /> ' - 4 <br /> '4 SAMPLING - - sIot:ad = c as <br /> soc'ticrti <br /> Holding Temperaturegra„� <br /> Methody; P <br /> Screening Method <br /> Tracking Sheet -Y/'n ) — <br /> .. .. <br /> no <br /> is <br /> SPOILS <br /> Storage Method MATERIALS/DEVELOPMENT <br /> Contamination Noted - <br /> Storage Location Casing type d <br /> Blank /U - i_tft. Screen ft. <br /> Slot size • O GT <br /> GROUTING Bags cement 15 <br /> / ,.. Buckets bentonite I <br /> T Depth to water A Bags sand/gravel (� <br /> Mix Ratios 3 3C Filter Pack type/size <br /> Installation Method Surge Block: - (y n <br /> Quantity Installed ! Discussed with geo ogist: �/ n) <br /> Type of metliod <br /> EH 29 29 � <br /> iw r. <br />