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-'1GIONITORING WELL INSTALLATION REPbfti <br /> Date: 3d-08 CONSTRUCTION /G <br /> Premise Address: ZZ! Z % "x .5 ^ Total Depth �l'✓ / <br /> Screen Length (from) (to) <br /> Well No.: Filter Pack (from) $V (to) Y <br /> Bentonite (from)Y (to) <br /> Inspector: Grout (from) (to) <br /> Drilling rig type iN O /5� Z <br /> Permit No. Z Auger O.D. 8 I.D. <br /> Completion- Stove pipe/christie box (circle one) <br /> Drilling Company: <br /> Driller: lhvf casing <br /> height <br /> Consultant C ��� <br /> WGA eo ogist IKG�cO l - <br /> ABOVE-GROUND CtiA*TY-BOX <br /> COMPLETION <br /> SPECIAL PERMIT INFO. Ground Sudan <br /> Distance to sewer line grout <br /> Domestic well on site - (y On ft- <br /> If yes, location and distance - 40y (t <br /> = a <br /> _ <br /> 0 <br /> SAMPLING slatted = ' <br /> e e <br /> socdon <br /> Holding Temperature :a;; = yn„vl pack <br /> Method <br /> Screening Method OV/" <br /> Tracking Sheet <br /> q9 ft. L. A = n <br /> SPOILS <br /> Storage Method �'�C� MATERIALS/DEVELOPMENT <br /> Contamination Noted - y n ) C <br /> Storage Location�Q�ilv� Casing type J46Y <br /> Blank ft. Screen -S' ft <br /> Slot size ' 0/0 <br /> GROUTING Bags cement <br /> Buckets bentonite - 7Z OU ' Y" <br /> Depth to water Bags sand/gravel� <br /> Mix Ratios qow,7. Filter Pack type/size z <br /> Installation Method w +t Dom-, Surge Block: - (y,e�n <br /> Quantity Installed Discussed with geo oogst: - (y/n ) <br /> Type of method <br /> EH 29 29 <br /> 4/�zfy ��� <br />