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_ MOMTORING WELL INSTALLATION REPORT <br /> Date: zC1 CONSTRUCTION _ <br /> Premise Adaress: z �5Total Dcgt , r <br /> - <br /> Screen Length Cfrom) ' ' (to) u S <br /> Well No.. Flt=Pack Cfrom}_._..r�, <br /> Betmonite (from) S (to) <br /> Inspector. l ..r Gran ftmn) fr (to) <br /> — <br /> ng rig type <br /> Pe=ait No. O 1Yt 9 9 Auger O.D. i I.D. <br /> C.omplerion-Stove pipe/rhrist box (circle one) <br /> Drill ag Conmam3 _.- <br /> Dr Mer. <br /> f 416 ugh. <br /> Consultant � -- _ � � ♦ � <br /> Geoloo-s. <br /> A.*CYS"ROUND CiRS,-Y-Bcx <br /> SPECIAL px a M';INFO. r-M:d S6-1--a , <br /> Distance to sewer line 7' <br /> Domestic well on site - (y/r: ) 'S' <br /> If yes, location and dis=ce - <br /> At I;d <br /> w <br /> X C <br /> _ O <br /> SANPUNG �� o <br /> Holding Teraaeramre <br /> Mead <br /> Screening Method _ <br /> Tracking Sheet - C y ) <br /> SPOILS <br /> Storage Method L NfA77s���`O?ME'�Il <br /> Contamination Noted - (y/n <br /> Storage Location Blank Using <br /> t9Pe <br /> fr, Street_ <br /> Slot size <br /> GROU"Z^1G Bags cemenu -) 3 s" <br /> Buckem b m=Uire l <br /> Deem to wate_w n ti 3� Bags rand/�av <br /> Mia Ratios <y°(a �� Film-Pack type/sime <br /> Installation Method Sorge Block - {y/fin <br /> Quantity In.- Discussed with geologisn n) <br /> e-o€mud <br /> M-15 29 29 <br />