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IIIONI*1'0l1ING Wl"Ll.- SOII, BORING <br /> INSTALIATION ItF.I'OIiT <br /> Date: JI 1 e <br /> Monitoring Well # <br /> Premise Address:�3 Tota. Depthtofrom) (to) <br /> Site Code: l� �/ �/ Screen Length ( `l (ro) <br /> q -A hh Tb/ QS-✓ Sl Filler Pack (from) to <br /> Bentonite (from) 5 (to) <br /> Permit Numh f�la I�P <br /> rout (from) <br /> F <br /> G <br /> Inspector. Depth to Water <br /> Auger O.D. S <br /> rYpc <br /> Drilling Compat y -- �_ Casing pack <br /> c/Size <br /> DrI11cr. Filter Pack Typ <br /> V Completion - Stove pipe Chrlstle box <br /> Consulting Firm' Surge Block: - (Y ! n) <br /> Geologist:— 1- CO— UC <br /> Samlin d CCI <br /> Mcthod of StoragMonitoring Welle: Total Depth (to G <br /> Screening Method: <br /> Screen Length (from . (to)� <br /> Filter Pack (from� 3 (toY1_--� <br /> Spalls from (to)—�� <br /> Bentonite <br /> Su,mge Method and Location: Grout (from) <br /> Depth to Water 8 <br /> Auger O.D. Z Slo ize <br /> Type--- <br /> Filter <br /> 3 <br /> Gmutin a �i0 i a1i — F ltergpa k•IypelSize vv bristle box <br /> Mix Ratios: e, ry�0 — Stove i <br /> Installnllon Mcthod: Completion - P � <br /> Quantity' Surge Block: (y I n) <br /> ...,nr ems <br /> CONS_ TRS N <br /> tal Dcpth------- Monitoring Well # <br /> Soil Boring #� -To <br /> Total Depth <br /> Depth to Water Scrccn L,cnglh (from)---'-- <br /> Mcthod of Destruction <br /> Filter Pack ( <br /> Bcnionite (from) <br /> �� from)—�'—(a))—�— <br /> Soil Boring #2=Tt)tal Depth Grout <br /> Depth to Water <br /> Dcpth to Water Anger O.D. <br /> Method Destruction — Casing Type Slot Size <br /> Filter Pack TypclSize <br /> Soil Boring #-Total Depth Completion - Stove pipe I Christie hox <br /> I Icpth to Water Surge Block: • (y I n) <br /> Method of Dcmructlon; <br /> Sail Boring #t �N otal D th <br /> Depth to Water ff?? <br /> Method of Destruction <br />