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MONITORING WELL INSTAu ATION REPORT <br /> Date:_ IZI 1.3.1 06 CONSTRUCTION <br /> Premise Address: X146 Total Depth <br /> Screen Length (from)_ Y� (to) by <br /> Well No.: <br /> U W — 3 Filter Pack (from) 43 (to)_ 60 <br /> Bentonite (from)_ '11 (to) y ; <br /> Inspector._ ilnnn��a Grout (from) ..6- (to). { I <br /> DrillIng rig type <br /> Permit No. if of I/S Auger O.D. I.D. <br /> Completion - Stove pipe/clhrisde box (circle one) <br /> Drilling Comp�Cany: 1Y� ��P� " <br /> Driller- LC/n� —A VA ry l�p,� casing <br /> he_ght <br /> Consultant f��)_� I�v <br /> Geologist_ JD kA A L- ` <br /> • APAVE-GRCUND <br /> CONY LETION CKRtSIY-aox <br /> SPECIAL PERMIT INFO. ��g�xy CCMr'Lc'nCN <br /> Distance to server line tlra <br /> Domestic well on site <br /> If yes, location and ante - <br /> _ o <br /> c <br /> SAMPLING <br /> Aorai � <br /> socicn <br /> Holding Temperature m, I•�^. _ <br /> Method_ <br /> Screening Method Pit>- <br /> Tracking Sheet - (y/ n ) <br /> 6 b ft. <br /> SPOILS <br /> Storage Method MATERIALS/DEVELOPMENT <br /> Contamination Noted - <br /> StorageLocadon m sites Casing type <br /> Blank �/S fc. Screen <br /> Slot size 02-0 �- <br /> GROUTING Bags cement 7- <br /> Buckets <br /> Buckets bentonite <br /> Depth to water AIA, — \/^p Bags sand/gravcl w (� <br /> Mik Rados Filter Pack type/size <br /> dnstalladon Method Surge Block: - (y nn <br /> Quantity Installed ry Discussed with geologist: - (yj3) <br /> Type of method <br /> EH 29 29. . <br />