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10MONiTOWNG WELL.INSTALLATION REPT <br /> -r <br /> Date: -a C <br /> PremiseAddress: Total Depth 106 <br /> Screen Length (from) (to) <br /> Well No.: mw - 2 Falter Pack (from)_ 4.4-E'00) <br /> Bentoulte (from) <br /> Inspector. Grout (froth <br /> nnuing rig a <br /> Permit No. Auger O.D. <br /> Drilling cossapany: Completion-Stove pipe hristie box (circle one) <br /> Driller. <br /> casing <br /> —Fheight <br /> consultant E �► <br /> Geologist T <br /> ADOVE-ORCUND <br /> COMPLETON <br /> tirwrd Ssrfam <br /> Distance to sewer line proaat <br /> Domestic wen on site- {y/n) <br /> If yes, location and distance- .7.3L..,:..R. <br /> h V <br /> r r <br /> � C <br /> AMP N .g <br /> abcod = g <br /> Holding Temperature <br /> Method P=AP** <br /> Screening Method <br /> Tracking Sheet - n) 'v <br /> IL <br /> SpolLs <br /> Storage Method - TD hE DMA/0 MAUWALS/DEVELOPMENT <br /> ontamination Note -d n} - <br /> Storage Location - ' Casing typed <br /> $ _ Screen G�'-rr� ft, <br /> SW&A O� to 'ft [O2 t/J 6mm* Blank �! - <br /> ` + Slot size <br /> GROLMNG Sl l Sl�*. Dags cement 1 <br /> 5�t( ON VI�tL, Euckeqjb,c�nconite <br /> Depth to water Bags gravel <br /> Mix Ratios SaxFilter hack type/size <br /> Installation Method 22&hiL Surge Block: - (yz2 <br /> Quantiry Installed Discussed with geologist: - (�jl n <br /> Ok�EH <br /> 29 29 method } <br /> Type of meod <br />