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`�.ONITORING WELL INSTALLATION REPG.,+ <br /> Date: l� �� '� _ CONSTRUCTION <br /> Premise Address: 11bo Total Depth - <br /> Screen Length (from) (to) f� <br /> Well No.: l,� Filter Pack (from) 1_1 P) (to)— — <br /> Bentonite (from) (to) X7.1 <br /> Inspector: Grout (from) (to) 4- — <br /> Drilling rig type J _G t <br /> Permit Na Auger O.D. O.2S _ 0a g•�� <br /> Completion - Stove pi /cluzsue box ircle one) <br /> Drilling Company: IJL-S11�5 --- <br /> Driller: lc.� 4 casing <br /> height <br /> Consultant U. .-S • '1 LILH <br /> _QVT <br /> Geologist bn\/c (-)l(-rFiIZ <br /> ABOVE-GfiCUND CHRSSiY-80X <br /> COMPLETION COMPLETICN <br /> SPECIAL PERMIT INFO. Ground Surfacs <br /> Distance to sewer line N�f} proof <br /> Domestic well on site - (y/ n) ,ft. <br /> If yes, location and distance - ft. <br /> ft. <br /> SAMPLING alot•ei :: _ <br /> soden <br /> Holding Temperature /J/A „W <br /> PaCK <br /> Method = <br /> Screening Method c _ <br /> Tracking Sheet - (y/ n ) <br /> SPOILS <br /> Storage Method 1 jk2ltn�5 MATERIALS/DEVELOPMENT <br /> Contamination Noted - (y/ n ) �, <br /> Storage Location OK `J1'12%� _ Casing type l 2A 40 OX <br /> Blank ft. Screen ft. <br /> Slot size 0- 0/0 <br /> GROUTING Bags cement <br /> Buckets bentonite / <br /> Depth to water kJIrV Bags sand/gravel <br /> Mix Ratios 5roz.�� � 7 G a.� 6��D Filter Pack type/size 2 <br /> Installation Method Surge Block: - ( y/ n ) <br /> Quantity Installed Discussed with geologist: - (y/ n) <br /> Type of method <br /> EH 29 29 <br /> 1'' <br />