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t <br /> I MONITORING wELL INSTALLATION REPORT <br /> Date: f p <br /> t/CONSTRUCTION <br /> C Premise Address: �drG6 � <br /> I Well No. 14 <br /> Inspector: I - / <br /> Total Depth d` <br /> �' lrf'i' - 7�` � � ✓�7 F <br /> Screen Length C;0 <br /> Filter Pack Z ( --.P Sd <br /> Permit No. <br /> Bentonite Pellets <br /> i <br /> Consultant Grout 2 ` -& SU <br /> Q T-� <br /> / <br /> Geologist P <br /> Completion'-stove P i e Christie box <br /> G'sfzir �r <br /> Auger O.D. e'-O � <br /> Auger I.D. S <br /> SAMPLING <br /> Holding Te perature i`lGc �-_—� stick-up <br /> Method Zt7' <br /> i <br /> Screening Method / :' <br /> ... <br /> _QVT <br /> Tracking Sheet /n) ABOVE-GROUND <br /> -BOX <br /> COMPLETION <br /> COMPLEI`ION <br /> SPOILS ����� <br /> q/ Qroul <br /> Storage Methodj <br /> Contamination Noted - yes/no <br /> Storage Locatlon_D/I� <br /> SPECIAL PERMIT INFO = COD. <br /> r <br /> ✓istance to sewer 1' �lott�d, c <br /> z — •� <br /> Domestic well an sitee section'- ;yes/� �? <br /> If yes, location & distance -- = pnrrlpadc <br /> f <br /> GROUTING <br /> MATERIALS USED: <br /> Depth to water Casing type <br /> Mix Ratios Blank 3 0i <br /> Installation Method /tt�r>�f Slot ft• Screen ata_f t. <br /> size .d 20" <br /> Quantity Installed <br /> Bags cement <br /> g .¢ JiX ls� 5 G�/nS <br /> Buckets bentonite <br /> Bags sand gravel_ <br /> Filter ack type/size !t <br /> t <br /> i <br />