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Th a,re- Lt)d,r� h" ✓r/--A <br /> 'ONITORING WELL INSTALLATION REPOI0 d'"s S vd-W a p/0S <br /> The-c�ri IlGrri ha>»•nL.- ,brolc�wl„l. <br /> S[ iu "WGII uu.6/d4S rcpair <br /> S2a`" t�r-� � Go feel`bsg <br /> Date: Jkri UQ r l zO 1"�/ CONSTRUCTION k4,.t �ys;�{ �d6rS Sed <br /> Premise Address: SU g I (/ 1, tl- W, Total Depth e,#11 <br /> J Screen Length (from)_ 1,6 (to`) O J <br /> Well No.: fj[t yam/ - S C� Filter Pack (from) GO (to) <br /> Bentonite (from) 444— (to) z <br /> Inspector. _ VILk, Mr (� rr Grout (from) 12- (to) S_ ur_ LOC _ <br /> Drilling rig type CME -g S <br /> Permit No. Auger O.D. IS`.,A' I.D. " - L <br /> Drilling Company: ��IIl'dQ✓C Completion - Stove pipe/ isde b (circle one) <br /> . [�J.f � _,y_oa <br /> Driller:_ (at F} <br /> f�mClGlro-r' rra H e ( Hr¢AI A dufem! <br /> fy casing <br /> r-0-oS51-s A: ✓Qson L4rsoiki dT DaVl So height <br /> Consultant A Re14,n ) S � <br /> Geologist_ T,'walicr /Go/%n_Qsu/orfl, -40—HP" <br /> - 4ge.'4D"A ABOVE•GFCUND _ <br /> 1-/Y-o8 Q ydrnlC� L'C-�A!l - f/RCAD/-r OOWLE71ON COMPLETION <br /> SPECIAL PERMIT INFO. D" [It b Ground Suiaca <br /> !lfh,r"JM. <br /> Distance to sewer line inn kr: etas•. great/��-;/,S' P <br /> Domestic well on site - (y/ 2W's- c S�Z ft, <br /> If yes, location and distance ,a C ft <br /> � <br /> Canf�nvays /oyg)n9e✓e� Y:. 1s1- >tlu <br /> SAMPLING - nano - 31 - 7,5 40t = `o <br /> sY-.2 r/,S LF,i* Slottsaot" <br /> = 8 <br /> Holding Temperature_ Al f{ �C 31-S 647 <br /> Method 3L-33,5" ,]3( = Gravel padt <br /> Screening Method <br /> Tracking Sheet - (y/ n ) <br /> 38- 3is- /f'rz <br /> SPOILS 4z `f3.S' 2sy <br /> �kl-4ss" z49 <br /> Storage Method Pj4L✓� n. Y"q 0 � el ley, <br /> g 47,5 �{ ) MATERIALS/DEVELOPMENT <br /> Contamination Noted - (Q/ n 7 / <br /> Storage Location_ dr1Si tL Casing type �- )Ye/L S//li. 4ii/� 80 <br /> Blank 5Z1 ft. Screen 10 ft. <br /> Slot size <br /> GROUTING Bags cement r 4.rSe <br /> h ydrlt- Buckets bentonite So- / - / <br /> Depth to water_ ag• S bscr 'bags sand/gravel -SU 4e-16 <br /> Mix Ratios «psi a ami r f, �8e�g bec)y!r_F7,. Filter Pack type/size <br /> Installation Metho Tr _ ems/ Surge Block: - ( y n <br /> Quantity Installed - ;f� Discussed with geologist. - n ) <br /> EH 29 29 Fu c`n�dmr N�G4St 1?t�IL-SC ,� Type of method <br /> J.set�,�j <br /> PID r ^ WtIJ utf �rrnL AY1Gl ?e . <br /> � 6 - 0 g S"3 !;'1,9 -.2 D•7pO. 3L-57,S 13.2-er <br /> 5b'- Sl•b' ¢t4, 2 APm 5y -SS,S-' 17.1, or <br />