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"MONITORING WELL INSTALLATION REPORT <br /> I <br /> Date: <br /> CONSTRUCTION <br /> 1 <br /> Premise Address:_?-:o S n7 Q,; r�.c _ R Total Depth A 'S <br /> Screen Length (from)__. 5 (to) 1 <br /> Well No.: t }--fir- M w)-Z Filter Pack (from) � ` —(to)d� <br /> Bentonite (from) I (to)— �- <br /> inspector: Grout (from) (to)_ ' <br /> Drilling rig type <br /> Permit No. Auger O.D. I C2 " I.D. <br /> Completion - Stove pip i e (circle one) <br /> Drilling Company- <br /> Driller: <br /> ompany Driller: casing <br /> height <br /> Consultant S t%Ga <br /> Geologist d �- <br /> �� C,eQ l0 5+0 COW ETIOND <br /> CtW STY-SOX <br /> CCIMPLETION <br /> SPECIAL PERMIT INFO. Ground Sur{aco <br /> 1 <br /> Distance to sewer Iine Grout <br /> Domestic well on site - (y/ n ) <br /> If.yes,.location and distance - ft• <br /> eft. ft. <br /> - O ' <br /> C <br /> SAMPLING _tottad - <br /> - wcion' u i <br /> Holding Temperature <br /> Method <br /> Qra"°�pack <br /> Screening Method P 1 k: <br /> Tracking Sheet n ) <br /> �3% — <br /> SPOILS <br /> Storage Method ksT Ar v t& MATERIALS/DEVELOPMENT <br /> Contamination Noted- (y/n 1 <br /> Storage Location �! Casing type_P)2 C Lj ; <br /> Blank _S ft. , Screen ao ft. 1 <br /> Slot size . b Z <br /> GROUTING Bags cement <br /> Bmukns bentonite 3 4 <br /> Depth to water t o Bags sand/gravel - a a LL <br /> Mix Ratios__N_Z� ,, b4zp 1 v�� ,Q, �, rC����tif Filter Pack type/size <br /> Installation Method-����f-A Surge.Block: - Q�/ n } <br /> Quantity Installed Discussed with geologist: CV n) <br /> Type of method <br /> EH 29 29 <br /> I <br /> i <br /> i <br />