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AL i ONGEQ fCIE-[')CE ID-916-8�2-8792 APR ( • ' 92 10 27 Pfa .'005 F . 06 <br /> f <br /> MONITORINO WELL INSTALLATION REPORT <br /> Q <br /> . . .,.,.-� <br /> CONST 1i[�CT TON <br /> /(r 0.3 'I - <br /> Premise Address: Well NI, <br /> Inapector._ M+;c.l+re_j_ �i/l:.r� Total pepthl� `78 <br /> Screen! Length r . <br /> Filter l PacO /7' <br /> Bentonite Pelleta .3 <br /> r <br /> Permit No. Grout..l, <br /> Consultant A1-rvN em r;e.,Cd- compleCion-stove pipe ir�atie kaa <br /> Geologist, /"d 1- 4-AC"I •y/o^r �� - <br /> Auger 6.D. I 1 d •• <br /> Auger I. 1). G <br /> SAMPLING -, _- _r <br /> Holding Temperature • '�'P �'�►. <br /> Method <br /> I r7111 <br /> Screening Method -- <br /> ABOVE-4ROUND'� CHAISTY•BOK <br /> .firacki.ng Sheet (y/n) _ C0MPLE710N COMPLETION <br /> GrauM sufan <br /> Qrovl <br /> Storage Method S�c�P,'l�.� p.� Phj'Tc lot- 4'.'.wt <br /> Contamination Noted - yea/no ft. <br /> Storage Location` �. <br /> �P.� fit. <br /> S <br /> SPEqIM PERMIT INFQ, <br /> mot" <br /> Dietance- to sewer lime <br /> Domestic well on site yes/no r . <br /> If yes, location & diatance w = D'aP <br /> .4, <br /> -7R n. I rft. <br /> 3EDt <br /> i� ✓ <br /> Dspth to water-- -. caging typ4 <br /> Mix Ratios, 9 Blank ll ft. screen ft. <br /> Installation Method slot 4lite ;G ao-A v <br /> Quantity Installed " !. Begs cement <br /> Buckets bentonite <br /> Sage viand/gravel $� <br /> _r Filter Pack <br /> type/size NO. <br />