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MONITORING WELL INSTALLATION REPORT <br /> Date: (Til ,9 CONSTRUCTION <br /> Pre ise ddress: Well No. � 3 <br /> ' ttSan <br /> Inspector: Total Depth <br /> �• z :� /' Screen Length <br /> Filter Pack <br /> Bentonite Pellet <br /> Permit No. Zl'S'-3 Grout - 6- <br /> -a <br /> Consultant Completion-Stove pipe hristie box <br /> Geologist oLervlfen-zV <br /> Auger O.D. 2 S <br /> Auger I.D. �_ 2 <br /> SAMPLING <br /> 2 <br /> Holding Temperature flc- <br /> T <br /> MethodC- Lf- <br /> .nkkwp <br /> Screening Method <br /> Tracking Sheet ( ) Mt OVE•GROUNO crwrsir r>ox <br /> COMPLETION COMPLETION <br /> SPOILS Gfamw S <br /> proal <br /> Storage Method <br /> Contamination Noted - yes o <br /> n. <br /> Storagye Location = <br /> u <br /> C <br /> �k11wd <br /> SPECIAL PERMIT INFO. ..cuon - <br /> pr►vd pack <br /> Distance to sewer line >60 =_ <br /> Domestic well on site - yes/ <br /> If yes, location & distance - n. - n. <br /> GROUTING MATERIALS USED: <br /> Depth to water ' .30 Casing ty� �'� <br /> Mix Ratios /"L� Blank Co ft. Screen '?wO ft. <br /> Installation Method !:)2QA4 J LC" Slot size 0. 010 <br /> Quantity Installed Bags cement <br /> Buckets bentonite _ A94.cas <br /> Bags sand/gravel <br /> Filter Pack type/size <br />