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• OGF OF <br /> MONITORING WELL INSTALLATION REPORT <br /> Date: �� CONSTRUCTION <br /> Premise Addresa: wro Well No. <br /> Inspector: W Total Depth 5 <br /> ¢ <br /> //7 Screen Length <br /> Filter Pack 's- <br /> Bentonite Pellets &• 3 S <br /> Permit No. C/ Grout 7 5-- <br /> Consultant Cwv completion-Stove pip chri <br /> Geologist I- -5 e <br /> Auger O.D. <br /> Auger I.D. G �� <br /> SAMPLING -- -- -_ - - ..—. — <br /> atlek up <br /> Holding Temperature <br /> Method lIff-T <br /> M-VJM FT <br /> Screening Method <br /> ABOVE-GFOLIND CHRISIY-BOX <br /> Tracking Sheet (y/n) COIvVLETION COMPLETION <br /> ��Oround St+lace <br /> SPOILS <br /> proal <br /> Storage Method �" S <br /> Contamination Noted - yes/6-0--) <br /> n. <br /> Storage Loction �� n — <br /> 4 <br /> 7 <br /> m <br /> — m <br /> SPECIAL PERMIT INFO. _ u <br /> slotted B <br /> Distance to sewer line Al section <br /> Domestic well on site - ye � <br /> .;,. = WmI4D <br /> If yes, location & distance <br /> GROUTING <br /> MATERIALS USED: <br /> Depth to water ` Casing type <br /> Mix Ratios Blank (/�_ ft. Screenft. <br /> Installation Method Slot size 0Z_ <br /> Quantity Installed Bags cement <br /> Buckets bentonite <br /> Bags sand/gravel <br /> Filter Pack type/size C <br /> Total Billed Time Per Site <br /> Date Permit Finalized <br />