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MONITORING WELL INSTALLATION REPOn i <br /> Date: Jr'S"�� CONSTRUCTION <br /> Premise Address: ?.O'�Z `{05F-m Total Depth I <br /> Screen Length (from) I IS' (to) t L5 <br /> Well No.: Filter Pack (from) I (to) j 6 <br /> Bentonite (from) I (to) 101.5 <br /> Inspector: QOUJE Grout (from) II•S (to) <br /> Drilling rig type b-Iv I <br /> Permit No. Auger O.D. 4,'` I.D. 4 <br /> Completion - Stove pipe/cluistie box (circle one) <br /> Drilling Company: L'liZ,c-Za -� <br /> Driller: casing <br /> height <br /> Consultant P�5 C <br /> Geologist •- <br /> ABCVE-GACUND 12EenCN <br /> COMPLEMN <br /> SPECIAL PERMIT INFO. Ground Surface •� <br /> Distance to v ' e grout <br /> Detcati we�ons - n ) wwo 1LFIf yes, Iotastance - rnW�� <br /> ft. <br /> -- m <br /> -- w <br /> C <br /> SAMPLING <br /> �� socicn <br /> Holding Temperature < <br /> Method _ 7aYWPaCK <br /> Screening Method I i <br /> r. <br /> Tracking Sheet - n CZCUS7bw1 <br /> 1 ?, <br /> ft. W = 115 ft. <br /> SPOILS <br /> Storage Method MATERIALS/DEVELOPMENT <br /> Contamination Noted - / n ) JG <br /> Storage Location S t-;" r?� Casing type <br /> Blank (05 ft. Screen to ft. <br /> Slot size 020 <br /> GROUTING Bags cement <br /> i u entonite 1- uwrl:�b Q i_GT <br /> Depth to water 5 ags sa gravel _ <br /> Mix Ratios - L iS(bS er Pack type/size -2-J) <br /> Installation Method � Surge Block: - � n ) <br /> Quantity Installed Discussed with eologist: - y�i' n ) <br /> Type of mediod 'bLpc46 -- <br /> EH 29 29 <br />