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PAGE OF <br /> MONITORING WELL INSTALLATION REPORT <br /> Date: S 2`1 I /s CONSTRUCTION <br /> Premise Address:j%4U 'uka44etlt,� Well No. <br /> Insoector: CWAIVWe' Total Depth 3V <br /> Screen Length - 6 `- <br /> Filter Pack i }t <br /> Bentonite Pellets Z' <br /> Permit No. Grout_ <br /> Consultant S h'u(wA�,, Completion-Stove pipe/christie o:: <br /> Geologist Ca((%A VtN,,GI <br /> Auger O.D. <br /> Auger I.D. <br /> SAMPLING <br /> atick up <br /> Holding Temperature �- <br /> Method V CJ <br /> Screening Method <br /> A-vpVE;GRCUND CNAISfY-BOX <br /> Tracking Sheet (y/n) � cONPLEi CWPLETION <br /> - — C- and Surfwc _ <br /> SPOILS <br /> ep groat <br /> CI <br /> Storage Method AIn(M 5 Il ft <br /> Contamination Noted - yes/no <br /> Storace Location 3 k' <br /> _ m <br /> m <br /> SPECT.AL PERMIT INFO. 2. <br /> O <br /> 9lott9d <br /> Distance to sewer line aecJon "- B <br /> Domestic well on site - yes/no — <br /> If ves, location & distance <br /> I <br /> GROUTING <br /> MATERIrILS USED: <br /> 1 <br /> D=_oth to wat'sr _ Casing type Y 10✓ <br /> M+:c Ratios - Blank fS'- ft. .Screen lS <br /> Installation Method P� Slot size .b(O <br /> Ouant_t_r T_r.stalled Bzcs cement f. <br /> Buckets bentonite <br /> �j,¢t,t�}ol,f/'fti et�fN(C 'ya. Bags sand/gravel �l•5 <br /> .__ter Pack t'ID-e/size <br /> • <br />